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

arbitrary method for changing equipment utilization rates.<br />

Many commenters suggested that we should develop a survey<br />

process that would obtain service specific utilization<br />

rates for all PFS services.<br />

Response: We agree with the commenters that support<br />

assigning the standard 50 percent equipment utilization<br />

rate to CPT codes 93012 and 93271 and we will finalize our<br />

proposal to use the standard 50 percent utilization rate<br />

for CPT codes 93012 and 93271. Although we did not make<br />

any proposals related to a comprehensive survey of services<br />

specific equipment costs, we plan to continue to work with<br />

interested parties to analyze the possibilities for<br />

potential inclusion in a future rulemaking cycle.<br />

c. Change to PE database inputs for certain cardiac stress<br />

tests<br />

In the CY 2009 PFS proposed rule, we proposed to<br />

change the PE database for CPT code 93025, Microvolt T-wave<br />

alternans for assessment of ventricular arrhythmias, to<br />

make the clinical labor staff type consistent with the<br />

other cardiac stress tests, CPT codes 93015 and 93017. In<br />

addition, we proposed to add the specific Micro-volt T-wave<br />

testing equipment in place of the cardiac stress testing<br />

treadmill devices, as well as to revise the time-in-use for<br />

the equipment in CPT 93025 to reflect the service period.<br />

65

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