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2006 proposed fee schedule - American Society of Clinical Oncology

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332<br />

was billed globally, the pr<strong>of</strong>essional component was always<br />

calculated at 100 percent <strong>of</strong> the pr<strong>of</strong>essional component<br />

(modifier-26) value.<br />

The simulated total allowed charges for each family <strong>of</strong><br />

codes includes all global, technical, and pr<strong>of</strong>essional<br />

utilization for the family <strong>of</strong> codes (for example, the sum <strong>of</strong><br />

claims where the multiple procedure payment reduction would<br />

have been in effect, in addition to claims that would not<br />

have been subject to the multiple procedure payment<br />

reduction). These simulated totals were then compared to<br />

the actual allowed charges for each family <strong>of</strong> codes within<br />

the same time period to calculate the impacts <strong>of</strong> the<br />

<strong>proposed</strong> change.<br />

Table 32 below shows the actual 2004 allowed charges by<br />

family <strong>of</strong> imaging procedures and lists the percentage impact<br />

by family if this <strong>proposed</strong> policy had been in effect.<br />

Family 2 has the largest (-18.9 percent) impact, while<br />

Family 11 has the smallest (-1.3 percent) impact.

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