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CMS-1403-FC
● 93306, Echocardiography, transthoracic real-time
with image documentation (2D), including M-mode recording
if performed, with spectral Doppler echocardiography, and
with color flow Doppler echocardiography.
The complete list of codes subject to the OPPS cap is
in Addendum I.
2. Moderate (Conscious) Sedation Codes (CPT codes 99143 to
99150)
In 2006, the moderate sedation codes were adopted by
the CPT. We did not accept the AMA RUC-recommended work
values for these codes, but stated that they would be
contractor priced under the PFS. At that time, we
indicated that we would continue to review this issue.
In August 2008, the AMA RUC convened a workgroup to
review the moderate sedation codes. The workgroup examined
national claims data provided to them by CMS to determine
if any further action was necessary for these codes. The
workgroup concluded its work in September 2008. It
recommended that CMS again consider assigning the
previously AMA RUC-recommended work values to both the
pediatric and adult moderate sedation codes.
Comment: Although not specifically discussed in the
CY 2009 PFS proposed rule, we received comments concerning
the pricing of these codes. Commenters requested that CMS
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