2006 proposed fee schedule - American Society of Clinical Oncology
2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology
Global $1,095.00 $620.00 $1,714.00 $1,450 Table 29 Diagnostic Imaging Services Family 1 Ultrasound (Chest/Abdomen/Pelvis - Non- Obstetrical 76604 Ultrasound exam, chest, b-scan 76645 Ultrasound exam, breast(s) 76700 Ultrasound exam, abdom, complete 76705 Echo exam of abdomen 76770 Ultrasound exam abdo back wall, comp 76775 Ultrasound exam abdo back wall, lim 76778 Ultrasound exam kidney transplant 76830 Transvaginal Ultrasound, non-ob 76831 Echo exam, uterus 76856 Ultrasound exam, pelvic, complete 76857 Ultrasound exam, pelvic, limited Family 2 CT and CTA (Chest/Thorax/Abd/Pelvis) 71250 CT thorax w/o dye 71260 CT thorax w/ dye 71270 CT thorax w/o & w/ dye 71275 CTA, chest 72191 CTA, pelv w/o & w/ dye 72192 CT pelvis w/o dye 72193 CT pelvis w/ dye 72194 CT pelvis w/o & w/ dye 74150 CT abdomen w/o dye 74160 CT abdomen w/ dye 74170 CT abdomen w/o & w/ dye 74175 CTA, abdom w/o & w/ dye 75635 CTA abdominal arteries 0067T CT colonography; dx Family 3 CT and CTA (Head/Brain/Orbit/Maxillofacial/Neck) 70450 CT head/brain w/o dye 70460 CT head/brain w/ dye 70470 CT head/brain w/o & w/ dye 70480 CT orbit/ear/fossa w/o dye 274 $207 + $978 + (.5 x $530)
70481 CT orbit/ear/fossa w/ dye 70482 CT orbit/ear/fossa w/o & w/ dye 70486 CT maxillofacial w/o dye 70487 CT maxillofacial w/ dye 70488 CT maxillofacial w/o & w/ dye 70490 CT soft tissue neck w/o dye 70491 CT soft tissue neck w/ dye 70492 CT soft tissue neck w/o & w/ dye 70496 CTA, head 70498 CTA, neck Family 4 MRI and MRA (Chest/Abd/Pelvis) 71550 MRI chest w/o dye 71551 MRI chest w/ dye 71552 MRI chest w/o & w/ dye 71555 MRI angio chest w/ or w/o dye 72195 MRI pelvis w/o dye 72196 MRI pelvis w/ dye 72197 MRI pelvis w/o &w/ dye 72198 MRI angio pelvis w/ or w/o dye 74181 MRI abdomen w/o dye 74182 MRI abdomen w/ dye 74183 MRI abdomen w/o and w/ dye 74185 MRI angio, abdom w/ or w/o dye Family 5 MRI and MRA (Head/Brain/Neck) 70540 MRI orbit/face/neck w/o dye 70542 MRI orbit/face/neck w/ dye 70543 MRI orbit/face/neck w/o & w/dye 70544 MRA head w/o dye 70545 MRA head w/dye 70546 MRA head w/o & w/dye 70547 MRA neck w/o dye 70548 MRA neck w/dye 70549 MRA neck w/o & w/dye 70551 MRI brain w/o dye 70552 MRI brain w/dye 70553 MRI brain w/o & w/dye Family 6 MRI and MRA (spine) 72141 MRI neck spine w/o dye 275
- Page 223 and 224: ● Adding a definition of a “ped
- Page 225 and 226: exception rate. The facility would
- Page 227 and 228: their intermediaries. Current parag
- Page 229 and 230: 229 costs are reasonable and allowa
- Page 231 and 232: 231 revised paragraph, a facility w
- Page 233 and 234: H. Payment for Covered Outpatient D
- Page 235 and 236: calculation. We also discuss the su
- Page 237 and 238: customers (for example, physicians)
- Page 239 and 240: 239 We believe the weighted average
- Page 241 and 242: number of 11-digit NDCs sold for ea
- Page 243 and 244: 243 included in the template, it is
- Page 245 and 246: current reporting format is an appr
- Page 247 and 248: 247 section 1847A of the Act for th
- Page 249 and 250: each quarter at the following web s
- Page 251 and 252: 251 We also note MedPAC’s recomme
- Page 253 and 254: costs and units. We seek comments a
- Page 255 and 256: 255 pays for DME and associated sup
- Page 257 and 258: pharmacy activities required to get
- Page 259 and 260: 259 representing 42 percent of the
- Page 261 and 262: 261 basic pharmacy services such as
- Page 263 and 264: seek comment on the potential impac
- Page 265 and 266: 265 overpaying for the costs associ
- Page 267 and 268: 267 and information about how pharm
- Page 269 and 270: 269 takes good faith efforts to res
- Page 271 and 272: 271 Specifically, we consider that
- Page 273: supplies. Using billing data, we id
- Page 277 and 278: K. Therapy Cap 73223 MRI joint uppe
- Page 279 and 280: provided for an active subluxation
- Page 281 and 282: is less than 2 percent of spending
- Page 283 and 284: (2) entities determined by the Secr
- Page 285 and 286: 285 We are proposing a supplemental
- Page 287 and 288: FQHC claim form to effectuate the b
- Page 289 and 290: 289 can issue a final determination
- Page 291 and 292: 291 conclude that Hispanic persons
- Page 293 and 294: 293 nuclear medicine services in ei
- Page 295 and 296: adiopharmaceuticals. In the final r
- Page 297 and 298: 297 (including Nuclear Medicine and
- Page 299 and 300: we would resolve any doubt on the m
- Page 301 and 302: facility payment rather than a TC c
- Page 303 and 304: ventures and leases, pose a risk of
- Page 305 and 306: 305 Underlying the projected rate r
- Page 307 and 308: decisions are central to the health
- Page 309 and 310: however. We are particularly intere
- Page 311 and 312: The collection requirement in this
- Page 313 and 314: eporting requirements are discussed
- Page 315 and 316: IV. Response to Comments Because of
- Page 317 and 318: achieve the objectives with less si
- Page 319 and 320: 319 The analysis and discussion pro
- Page 321 and 322: 321 for a new code may change becau
- Page 323 and 324: 323 TABLE 30--Impact of Practice Ex
Global $1,095.00 $620.00 $1,714.00 $1,450<br />
Table 29<br />
Diagnostic Imaging Services<br />
Family 1 Ultrasound (Chest/Abdomen/Pelvis - Non-<br />
Obstetrical<br />
76604 Ultrasound exam, chest, b-scan<br />
76645 Ultrasound exam, breast(s)<br />
76700 Ultrasound exam, abdom, complete<br />
76705 Echo exam <strong>of</strong> abdomen<br />
76770 Ultrasound exam abdo back wall, comp<br />
76775 Ultrasound exam abdo back wall, lim<br />
76778 Ultrasound exam kidney transplant<br />
76830 Transvaginal Ultrasound, non-ob<br />
76831 Echo exam, uterus<br />
76856 Ultrasound exam, pelvic, complete<br />
76857 Ultrasound exam, pelvic, limited<br />
Family 2 CT and CTA (Chest/Thorax/Abd/Pelvis)<br />
71250 CT thorax w/o dye<br />
71260 CT thorax w/ dye<br />
71270 CT thorax w/o & w/ dye<br />
71275 CTA, chest<br />
72191 CTA, pelv w/o & w/ dye<br />
72192 CT pelvis w/o dye<br />
72193 CT pelvis w/ dye<br />
72194 CT pelvis w/o & w/ dye<br />
74150 CT abdomen w/o dye<br />
74160 CT abdomen w/ dye<br />
74170 CT abdomen w/o & w/ dye<br />
74175 CTA, abdom w/o & w/ dye<br />
75635 CTA abdominal arteries<br />
0067T CT colonography; dx<br />
Family 3 CT and CTA<br />
(Head/Brain/Orbit/Maxill<strong>of</strong>acial/Neck)<br />
70450 CT head/brain w/o dye<br />
70460 CT head/brain w/ dye<br />
70470 CT head/brain w/o & w/ dye<br />
70480 CT orbit/ear/fossa w/o dye<br />
274<br />
$207 + $978 + (.5<br />
x $530)
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