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<strong>CMS</strong>-1403-FC<br />

staff times specific to each procedure. The CPEPs consisted<br />

of panels of physicians, practice administrators, and<br />

nonphysicians (for example, RNs) who were nominated by<br />

physician specialty societies and other groups. There were<br />

15 CPEPs consisting of 180 members from more than<br />

61 specialties and subspecialties. Approximately 50 percent<br />

of the panelists were physicians.<br />

The CPEPs identified specific inputs involved in each<br />

physician’s service provided in an office or facility<br />

setting. The inputs identified were the quantity and type<br />

of nonphysician labor, medical supplies, and medical<br />

equipment.<br />

In 1999, the AMA's RUC established the PEAC. From 1999<br />

to March 2004, the PEAC, a multi-specialty committee,<br />

reviewed the original CPEP inputs and provided us with<br />

recommendations for refining these direct PE inputs for<br />

existing CPT codes. Through its last meeting in March 2004,<br />

the PEAC provided recommendations for over 7,600 codes which<br />

we have reviewed and in most instances have accepted. As a<br />

result, the current PE inputs differ markedly from those<br />

originally recommended by the CPEPs. The PEAC was replaced<br />

by the Practice Expense Review Committee (PERC) and now<br />

these PE-related activities are addressed by the AMA RUC PE<br />

subcommittee.<br />

44

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