2006 proposed fee schedule - American Society of Clinical Oncology

Thus, the caps will again become effective beginning
January 1, 2006.
278
Section 1883(g)(2) of the Act provides that, for 1999
through 2001, the caps were both $1500, and for years after
2001, the caps are equal to the preceding year’s cap
increased by the percentage increase in the MEI (except that
if an increase for a year is not a multiple of $10, it is
rounded to the nearest multiple of $10). We will publish
the dollar amount for therapy caps in the final rule, when
the MEI is available. Based on the April 4, 2005 MEI
estimate, the estimated value of therapy caps for 2006 would
be $1,750.
L. Chiropractic Services Demonstration
[If you choose to comment on issues in this section, please
include the caption “CHIROPRACTIC SERVICES” at the beginning
of your comments.]
Section 1861(r)(5) of the Act limits current Medicare
coverage for chiropractic treatment by means of the manual
manipulation of the spine for the purpose of correcting a
subluxation, defined generally as a malfunction of the
spine. Specifically, Medicare covers three CPT Codes
provided by chiropractors: 98940 (manipulative treatment,
1-2 regions of the spine), 98941 (manipulative treatment,
3-4 regions of the spine), and 98942 (manipulative
treatment, 5 regions of the spine). Treatment must be