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CMS-1403-FC
healthcare professional via telephone or online, for which
the AMA RUC and the AMA’s Health Care Professionals
Advisory Committee provided work and PE valuations. We
assigned a status indicator of “N” (Noncovered) to these
services because: (1) these services are non-face-to-face;
and (2) the code descriptors include language that
recognizes the provision of services to parties other than
the beneficiary for whom Medicare does not provide coverage
(for example, a guardian).
Comment: Some commenters requested that we reconsider
the assignment of an N status for these codes. The
commenters believed that failure to provide incentives and
funding for these codes affects the alignment of quality of
care between providers.
Response: We have considered the commenters’ request.
However, we will continue to recognize these services as
noncovered because they are not furnished in a face-to-face
setting (nor are they furnished as Medicare telehealth
services), and the code descriptors include language that
recognizes the provision of services to a noncovered
entity.
In the CY 2008 PFS final rule with comment period
(73 FR 66371), we also responded to the AMA RUC
recommendations on the PE inputs for the new and revised
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