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 ...
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
- Page 875 and 876: CMS-1403-FC describes the methodolo
- Page 877 and 878: CMS-1403-FC The RUC has created the
- Page 879 and 880: CMS-1403-FC Response: Although we r
- Page 881 and 882: CMS-1403-FC occurring code pairs. T
- Page 883 and 884: CMS-1403-FC a standing panel of exp
- Page 885 and 886: CMS-1403-FC extraction of the assoc
- Page 887 and 888: CMS-1403-FC TABLE 26: AMA RUC Recom
- Page 889 and 890: CMS-1403-FC AMA RUC Rec Site of Ser
- Page 891 and 892: CMS-1403-FC AMA RUC Rec Site of Ser
- Page 893 and 894: CMS-1403-FC AMA RUC Rec Site of Ser
- Page 895 and 896: CMS-1403-FC Note: The RUC reviewed
- Page 897 and 898: CMS-1403-FC C. Interim 2008 Codes 1
- Page 899 and 900: CMS-1403-FC national noncoverage de
- Page 901 and 902: CMS-1403-FC CPT codes for 2008. In
- Page 903 and 904: CMS-1403-FC associated work RVUs, t
- Page 905 and 906: CMS-1403-FC CPT 1 AMA RUC Work RVU
- Page 907 and 908: CMS-1403-FC # New CPT code. 1 All C
- Page 909 and 910: CMS-1403-FC ● 27218, Open treatme
- Page 911 and 912: CMS-1403-FC RVUs for G0412; 15.73 w
- Page 913 and 914: CMS-1403-FC Therefore, we disagree
- Page 915 and 916: CMS-1403-FC generally contractor pr
- Page 917 and 918: CMS-1403-FC In addition, we believe
- Page 919 and 920: CMS-1403-FC RVU for CPT code 93289
- Page 921 and 922: CMS-1403-FC time to better understa
- Page 923 and 924: CMS-1403-FC ● 93306, Echocardiogr
- Page 925: CMS-1403-FC Although not discussed
- Page 929 and 930: CMS-1403-FC item. In addition, the
- Page 931 and 932: CMS-1403-FC 90956, 90957, 90958, 90
- Page 933 and 934: CMS-1403-FC place of these two new
- Page 935 and 936: CMS-1403-FC beneficiary or any othe
- Page 937 and 938: CMS-1403-FC ● Adding the followin
- Page 939 and 940: CMS-1403-FC Tables 29 and 30 also i
- Page 941 and 942: CMS-1403-FC RADIOLOGY AND CERTAIN O
- Page 943 and 944: CMS-1403-FC 93320 Doppler echo exam
- Page 945 and 946: CMS-1403-FC index data, that the hi
- Page 947 and 948: CMS-1403-FC TABLE 32: Increase in t
- Page 949 and 950: CMS-1403-FC C. The Update Adjustmen
- Page 951 and 952: CMS-1403-FC end of the prior year a
- Page 953 and 954: CMS-1403-FC CY 2009, the statute re
- Page 955 and 956: CMS-1403-FC Actual08 = Estimated Ac
- Page 957 and 958: CMS-1403-FC 1848(f)(3)(C)(i) of the
- Page 959 and 960: CMS-1403-FC ● Screening mammograp
- Page 961 and 962: CMS-1403-FC payments while promotin
- Page 963 and 964: CMS-1403-FC E. Final Sustainable Gr
- Page 965 and 966: CMS-1403-FC included in the SGR (us
- Page 967 and 968: CMS-1403-FC that this figure will c
- Page 969 and 970: CMS-1403-FC physicians' services in
- Page 971 and 972: CMS-1403-FC imaging services, the M
- Page 973 and 974: CMS-1403-FC CY 2007. Table 42 illus
- Page 975 and 976: CMS-1403-FC year to the entire year
<strong>CMS</strong>-1403-FC<br />
for New and Revised 2009 CPT Codes and Table 26 except as<br />
noted below in this section.<br />
1. CPT Code Series 93279 through 93292<br />
The AMA RUC PE recommendations for cardiac monitoring<br />
services in the CPT code series 93279 through 93292<br />
recommended that we include a “pacemaker monitoring system”<br />
as the necessary equipment to be used in each code of the<br />
14 CPT code series 93279 through 93292. Because the<br />
specialty did not list a price along with the equipment<br />
item we reviewed the equipment used in the existing<br />
services that were used to crosswalk to the new codes. We<br />
found that the existing services are each assigned the<br />
pacemaker follow-up system (including software and<br />
hardware), <strong>CMS</strong> equipment code EQ198 and, as such, we have<br />
assigned this equipment item to each of the 14 new services<br />
on an interim basis.<br />
The RUC recommended that a “pacemaker interrogation<br />
system” be used for the two CPT codes 93293 and 93296.<br />
However, the PE database does not contain an equipment item<br />
with this description. Because we noted a 100 percent<br />
crosswalk from existing CPT code 93733 that utilizes the<br />
pacemaker follow-up system to the new CPT code 93293, we<br />
have assigned, on an interim basis, the pacemaker follow-up<br />
927