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CMS-1403-FC
CPT codes for 2008. In addition to the PE comments
discussed in section II.A.2. of this final rule with
comment period, we received the following comments
concerning PE inputs:
Comment: The specialty societies and the AMA RUC
provided clarification and pricing information concerning
direct PE inputs for CPT Code 43760, Change of gastrostomy
tube, percutaneous, without imaging or endoscopic
guidance.
Response: We have revised the PE database to reflect
this information.
Comment: Several commenters questioned the PE RVUs
for CPT code 68816, Probing of nasolacrimal duct, with or
without irrigation; with transluminal balloon catheter
dilation, believing it to be undervalued. In particular,
one commenter stated that the payment for this service is
less than a specific supply item.
Response: We have reviewed the PE inputs for this
service and determined that they accurately represent the
inputs recommended by the AMA RUC. The difference in the
actual costs of the direct PE inputs and the payment amount
for this service is due to the application of the uniform
BN adjustment that is applied to all direct inputs as part
of the bottom-up PE methodology.
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