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CMS-1403-FC
which means that in 2008 a beneficiary is responsible for
20 percent of this amount, or $18. Based on this rule, the
2009 national payment amount in the nonfacility setting for
CPT code 99203, as shown in Table 47, is $91.97 which means
that, in 2009, the beneficiary coinsurance for this service
would be $18.39.
Policies discussed in this rule that do affect overall
spending, such as the additions to the list of codes that
are subject to the MPPR for diagnostic imaging, would
similarly impact beneficiaries’ coinsurance.
W. Accounting Statement
As required by OMB Circular A-4 (available at
http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf), in
Table 53, we have prepared an accounting statement showing
the classification of the expenditures associated with this
final rule with comment period. This estimate includes the
incurred benefit impact associated with the estimated
CY 2009 PFS update based on the 2008 Trustees Report
baseline, as well as certain MIPPA provisions. All
estimated impacts are classified as transfers.
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