Notice: This CMS-approved document has been submitted - Philips ...

Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...

healthcare.philips.com
from healthcare.philips.com More from this publisher
19.02.2013 Views

CMS-1403-FC an asterisk (*) on Table 27: AMA RUC Recommendations and CMS’ Decisions for New and Revised 2009 CPT Codes. 5. Comments Received on New CPT Codes for CY 2009 We received comments on new CPT codes for CY 2009 including Category III codes. Since these are new codes for CY 2009, they are subject to comment as part of this final rule. Note: Category III codes are contractor priced under the PFS. H. Establishment of Interim PE RVUs for New and Revised Physician’s Current Procedural Terminology (CPT) Codes and New Healthcare Common Procedure Coding System (HCPCS) Codes for 2009 We have developed a process for establishing interim PE RVUs for new and revised codes that is similar to that used for work RVUs. Under this process, the AMA RUC recommends the PE direct inputs (the staff time, supplies and equipment) associated with each new code. CMS reviews the recommendations in a manner similar to our evaluation of the recommended work RVUs. The AMA RUC recommendations on the PE inputs for the new and revised CY 2009 codes were submitted to CMS as interim recommendations. We have accepted, in the interim, the PE recommendations submitted by the RUC for the codes listed in Table 27: AMA RUC Recommendations and CMS’ Decisions 926

CMS-1403-FC for New and Revised 2009 CPT Codes and Table 26 except as noted below in this section. 1. CPT Code Series 93279 through 93292 The AMA RUC PE recommendations for cardiac monitoring services in the CPT code series 93279 through 93292 recommended that we include a “pacemaker monitoring system” as the necessary equipment to be used in each code of the 14 CPT code series 93279 through 93292. Because the specialty did not list a price along with the equipment item we reviewed the equipment used in the existing services that were used to crosswalk to the new codes. We found that the existing services are each assigned the pacemaker follow-up system (including software and hardware), CMS equipment code EQ198 and, as such, we have assigned this equipment item to each of the 14 new services on an interim basis. The RUC recommended that a “pacemaker interrogation system” be used for the two CPT codes 93293 and 93296. However, the PE database does not contain an equipment item with this description. Because we noted a 100 percent crosswalk from existing CPT code 93733 that utilizes the pacemaker follow-up system to the new CPT code 93293, we have assigned, on an interim basis, the pacemaker follow-up 927

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

an asterisk (*) on Table 27: AMA RUC Recommendations and<br />

<strong>CMS</strong>’ Decisions for New and Revised 2009 CPT Codes.<br />

5. Comments Received on New CPT Codes for CY 2009<br />

We received comments on new CPT codes for CY 2009<br />

including Category III codes. Since these are new codes<br />

for CY 2009, they are subject to comment as part of this<br />

final rule. Note: Category III codes are contractor<br />

priced under the PFS.<br />

H. Establishment of Interim PE RVUs for New and Revised<br />

Physician’s Current Procedural Terminology (CPT) Codes and<br />

New Healthcare Common Procedure Coding System (HCPCS) Codes<br />

for 2009<br />

We have developed a process for establishing interim<br />

PE RVUs for new and revised codes that is similar to that<br />

used for work RVUs. Under this process, the AMA RUC<br />

recommends the PE direct inputs (the staff time, supplies<br />

and equipment) associated with each new code. <strong>CMS</strong> reviews<br />

the recommendations in a manner similar to our evaluation<br />

of the recommended work RVUs. The AMA RUC recommendations<br />

on the PE inputs for the new and revised CY 2009 codes were<br />

<strong>submitted</strong> to <strong>CMS</strong> as interim recommendations.<br />

We have accepted, in the interim, the PE<br />

recommendations <strong>submitted</strong> by the RUC for the codes listed<br />

in Table 27: AMA RUC Recommendations and <strong>CMS</strong>’ Decisions<br />

926

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!