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2006 proposed fee schedule - American Society of Clinical Oncology

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We received comments from the <strong>American</strong> Academy <strong>of</strong><br />

Ophthalmology that included documentation from two sources<br />

for the pricing <strong>of</strong> the EMG botox machine used in CPT code<br />

92265 and we are proposing to accept $16,188 as the average<br />

price for this equipment.<br />

● Supply Item for In Situ Hybridization Codes (CPT 88365,<br />

88367, and 88368)<br />

We received comments from the College <strong>of</strong> <strong>American</strong><br />

Pathologists (CAP) regarding the number <strong>of</strong> DNA probes<br />

assigned to the in situ hybridization codes, CPT codes<br />

88365, 88367, and 88368. Currently, CPT codes 88365 and<br />

88368 have 1.5 probes assigned, while CPT code 88367 has<br />

only .75 <strong>of</strong> a probe assigned. CAP requested that we also<br />

assign 1.5 probes to CPT code 88367, and the comment<br />

provided justification for this request. We accept the CAP<br />

rationale and propose to change the probe quantity for CPT<br />

code 88367 to 1.5.<br />

● Supply Item for Percutaneous Vertebroplasty Procedures<br />

(CPT codes 22520 and 22525)<br />

The <strong>Society</strong> for Interventional Radiology provided us<br />

with documentation for the price <strong>of</strong> the vertebroplasty kit<br />

used in CPT codes 22520 and 22525. We propose to accept a<br />

new price <strong>of</strong> $696 for this supply, currently listed as<br />

$660.50, a placeholder price from last year’s final rule.<br />

74

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