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CMS-1403-FC
We received no comments on our proposed technical change
and have revised the regulations at §414.22(b)(5)(i)(A) and (B)
as proposed.
e. Other PE direct input issues
(i) Removal of Conscious Sedation (CS) PE Inputs for
Services in Which CS is not Inherent – Technical Correction
In reviewing the PE database, we noted that the
conscious sedation (CS) PE inputs for 12 CPT codes in which
CS is not inherent had not been removed after CPT 2005
began identifying these codes in a separate Addendum. The
CS inputs for CPT codes 19300, 22520, 22521, 31717, 62263,
62264, 62268, 62269, 63610, 64585, 64590, and 64595 had
been added by the AMA RUC’s PEAC prior to CY 2005. At that
time, the AMA RUC recommended deletion of the CS PE inputs
for all procedures that were not identified in the CPT 2005
manual Addendum which lists the services in which CS is
inherent; and, thus include the associated direct PE
inputs. Due to a technical error, these inputs were not
removed for CY 2005. We have removed the CS PE inputs for
the 12 CPT codes noted above. We ask that the AMA RUC
permit specialty societies to bring any CPT codes forward
to either the February or April 2009 AMA RUC meetings
should any other discrepancies between the CPT Addendum and
the PE database be identified.
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