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
TABLE 19--Equipment Items Needing Specialty Input for Pricing and Proposed Deletions Code 2005 Description Price Ambulatory blood EQ269 pressure monitor EQ089 cortical bipolarbiphasic stimulating equipment 3,000.00 *CPT code(s) Primary specialties associated with associated with item item Cardiology 93784, 93786, 93788 Neurosurger, neurology 84 Status of item See Note A 95961, 95962 See Note A EQ091 Cryo-thermal unit Anesthesia 64620 See Notes A and C ER025 densitometry unit, Radiology 78350 See Notes A whole body, SPA 22,500.00 and C EQ100 dialysis access flow Nephrology 90940 See Note A monitor 10,000.00 EQ101 diathermy, anesthesia, GP, 97020 See Notes A microwave podiatry and C EQ008 ECG signal averaging Cardiology, IM 93278 See Note A system 8,250.00 EQ112 electromagnetic Physical therapy G0329 See Note A therapy machine 25,000.00 EQ122 fetal monitor software 35,000.00 ER029 film alternator (motorized film 27,500.00 viewbox) EQ124 generator, constant current 950.00 EQ131 hyperbaric chamber 125,000.00 hyperthermia system, ultrasound, 250,000.00 ER036 intracavitary Light assembly, photopheresis ER045 orthovoltage radiotherapy system 140,000.00 ob-gyn, radiology 76818, 76819 See Note A Radiology 329 codes See Notes A and B Neurology, NP 95923 See Note A FP, IM, EM 99183 See Note A radiation oncology 77620 See Note A Dermatology 36522 See Note A radiation oncology 77401 See Note A ER008 OSHA ventilated radiation oncology 77334 See Notes A hood 5,000.00 and B plasma pheresis radiology, 36481, G0341 See Note A machine w/UV light source 37,900.00 dermatology EQ208 Programmer, for 1,975 anesthesiology, 62367 and 62368 See Note D implanted medication pump (spine) physical medicine EQ209 Programmer, neurostimulator (wprinter) 1,975 neurology, neuro surgery, anesthesiology 95970, 95971, 95972, 95973, 95974, 95975, 95978, 95979 See Note D
Code 2005 Description Price EQ212 pulse oxymetry recording software (prolonged monitoring) EP055 Slide Stainer 3,660.00 9,291.00 Primary specialties associated with item Pulmonary disease, IM EQ271 Radiuscope ophthalmology, optometry EQ220 remote monitoring service (neurodiagnostics) 9,500.00 EQ221 review master 23,500.00 pulmonary disease, neurology 85 *CPT code(s) associated with Status of item item 94762 See Note A Pathology 88184 See Note A 92310 – 92317 See Note A Neurology 95955 See Note A 95805, 95807-11, 95816, 95822, 95955-56 EF022 table, cystoscopy Urology 52204-24, 52265-75, 52310- EQ253 ultrasound, echocardiography digital acquisition (Novo Microsonics, TomTec) 29,900.00 ob-gyn, cardiology, pediatrics 17, 52327-32 76825-28, 93303-12, 93314, 93320, 93325, 93350 See Note A See Note A See Note A EQ261 vacuum cart anesthesia 64620 See Notes A and C EP054 Wash assistant, 38,000.00 pathology 88184 See Note A FACS *CPT codes and descriptions only are copyright 2004 American medical Association. All Rights Reserved. Applicable FARS/DFARS apply. Notes: A. Additional information required. Need detailed description (including system components as specified), source, and current pricing information. B. Proposed deletion as indirect expense. C. Item may no longer be available. D. Proposed deletion as supplied to physicians at no cost.
- Page 33 and 34: codes that the RUC has not yet revi
- Page 35 and 36: procedure: $27,305,408. In this exa
- Page 37 and 38: as a whole. Indirect costs include
- Page 39 and 40: ● The unscaled indirect expense a
- Page 41 and 42: BNF is applied to (multiplied by) t
- Page 43 and 44: NPWP Step 2--Calculation of Charge-
- Page 45 and 46: In Table 11, the scaled total direc
- Page 47 and 48: TABLE 13--Budget Neutrality and Fin
- Page 49 and 50: The following discussion outlines t
- Page 51 and 52: exist, and suggests that the need f
- Page 53 and 54: TABLE 14--Practice Expense Per Hour
- Page 55 and 56: We believe that we have consistentl
- Page 57 and 58: Due to the ongoing refinement by th
- Page 59 and 60: indirect PE methodology is inaccura
- Page 61 and 62: multi-specialty PEAC that were base
- Page 63 and 64: the needed survey or other data or
- Page 65 and 66: PERC/RUC recommendations for these
- Page 67 and 68: eflect the typical number of cast c
- Page 69 and 70: on comments received and additional
- Page 71 and 72: We have reviewed the PE database an
- Page 73 and 74: the ACR. We have accepted the follo
- Page 75 and 76: ● Clinical Labor for G-codes Rela
- Page 77 and 78: proposed associated prices that we
- Page 79 and 80: Supply Code Supply Description Unit
- Page 81 and 82: ● Supply and Equipment Items Need
- Page 83: Code 2005 Description Unit Unit Pri
- Page 87 and 88: Effective January 1, 2006, this pro
- Page 89 and 90: challenge the validity of a new loc
- Page 91 and 92: ones reconfigured). Yet we also rec
- Page 93 and 94: The issue of payment locality desig
- Page 95 and 96: specialties listed infrequently as
- Page 97 and 98: for premium rating purposes. ISO co
- Page 99 and 100: psychology to the nonsurgical risk
- Page 101 and 102: to anesthesiology which is 2.84 rat
- Page 103 and 104: 103 However, as noted previously in
- Page 105 and 106: ● Category #1: Services that are
- Page 107 and 108: G0270, G0271 and 97802 through 9780
- Page 109 and 110: Group Medical Nutritional Therapy (
- Page 111 and 112: 111 furnished in the group setting
- Page 113 and 114: CMS Review 113 As noted previously,
- Page 115 and 116: system that permits the physician a
- Page 117 and 118: 117 associated with the provided se
- Page 119 and 120: 119 overlapping surgeries, the teac
- Page 121 and 122: anesthesia programs that have arran
- Page 123 and 124: 123 Section 623 of the MMA also req
- Page 125 and 126: 125 hospital-based facilities; whil
- Page 127 and 128: 127 The next step would be to devel
- Page 129 and 130: Drugs Second Quarter ASP +6 Percent
- Page 131 and 132: 131 independent facilities, to acco
- Page 133 and 134: 133
TABLE 19--Equipment Items Needing Specialty Input for<br />
Pricing and Proposed Deletions<br />
Code 2005 Description Price<br />
Ambulatory blood<br />
EQ269 pressure monitor<br />
EQ089 cortical bipolarbiphasic<br />
stimulating<br />
equipment<br />
3,000.00<br />
*CPT code(s)<br />
Primary specialties associated with<br />
associated with item item<br />
Cardiology 93784, 93786,<br />
93788<br />
Neurosurger,<br />
neurology<br />
84<br />
Status <strong>of</strong><br />
item<br />
See Note A<br />
95961, 95962 See Note A<br />
EQ091 Cryo-thermal unit Anesthesia 64620 See Notes A<br />
and C<br />
ER025 densitometry unit,<br />
Radiology 78350 See Notes A<br />
whole body, SPA 22,500.00<br />
and C<br />
EQ100 dialysis access flow<br />
Nephrology 90940 See Note A<br />
monitor<br />
10,000.00<br />
EQ101 diathermy,<br />
anesthesia, GP,<br />
97020 See Notes A<br />
microwave<br />
podiatry<br />
and C<br />
EQ008 ECG signal averaging<br />
Cardiology, IM 93278 See Note A<br />
system<br />
8,250.00<br />
EQ112 electromagnetic<br />
Physical therapy G0329 See Note A<br />
therapy machine 25,000.00<br />
EQ122 fetal monitor s<strong>of</strong>tware<br />
35,000.00<br />
ER029 film alternator<br />
(motorized film 27,500.00<br />
viewbox)<br />
EQ124 generator, constant<br />
current<br />
950.00<br />
EQ131 hyperbaric chamber<br />
125,000.00<br />
hyperthermia system,<br />
ultrasound, 250,000.00<br />
ER036 intracavitary<br />
Light assembly,<br />
photopheresis<br />
ER045 orthovoltage<br />
radiotherapy system<br />
140,000.00<br />
ob-gyn, radiology 76818, 76819 See Note A<br />
Radiology 329 codes See Notes A<br />
and B<br />
Neurology, NP 95923 See Note A<br />
FP, IM, EM 99183 See Note A<br />
radiation oncology 77620 See Note A<br />
Dermatology 36522 See Note A<br />
radiation oncology 77401 See Note A<br />
ER008 OSHA ventilated<br />
radiation oncology 77334 See Notes A<br />
hood<br />
5,000.00<br />
and B<br />
plasma pheresis<br />
radiology,<br />
36481, G0341 See Note A<br />
machine w/UV light<br />
source<br />
37,900.00 dermatology<br />
EQ208 Programmer, for 1,975 anesthesiology, 62367 and 62368 See Note D<br />
implanted medication<br />
pump (spine)<br />
physical medicine<br />
EQ209 Programmer,<br />
neurostimulator (wprinter)<br />
1,975 neurology, neuro<br />
surgery,<br />
anesthesiology<br />
95970, 95971,<br />
95972, 95973,<br />
95974, 95975,<br />
95978, 95979<br />
See Note D