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CMS-1403-FC
several additional procedures to the MPPR (73 FR 38519).
Six procedures represent codes newly created since the MPPR
list was established. Four additional procedures have been
identified as similar to procedures currently subject to
the MPPR. We also proposed to remove CPT code 76778, a
deleted code, from the list. Table 6 contains the proposed
additions to the list. After we adopted the MPPR, section
5102 of the Deficit Reduction Act of 2005 (Pub. L. 109-171)
(DRA) exempted the expenditure reductions resulting from
this policy from the statutory BN requirement. Therefore,
we proposed that expenditure reductions resulting from
these changes be exempt from BN. (See the Regulatory
Impact Analysis in section XVI. of this final rule with
comment period for a discussion of BN.) The complete list
of procedures subject to the MPPR is in Addendum F of this
final rule with comment period.
TABLE 6: Procedures Proposed for Multiple Procedure
Payment Reduction
CPT Code Short Descriptor Code Family
70336 mri, temporomandibular Family 5 MRI and MRA
joint(s)
(Head/Brain/Neck)
70554 Fmri brain by tech Family 5 MRI and MRA
(Head/Brain/Neck)
75557 Cardiac mri for morph Family 4 MRI and MRA
(Chest/Abd/Pelvis)
75559 Cardiac mri w/stress img Family 4 MRI and MRA
(Chest/Abd/Pelvis)
75561 Cardiac mri for morph w/dye Family 4 MRI and MRA
(Chest/Abd/Pelvis)
75563 Cardiac mri w/stress img & Family 4 MRI and MRA
dye
(Chest/Abd/Pelvis)
132