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 relationship to the light guide. In the interim, while we await comments, we have assigned the new equipment price including the light guide to the new CPT code 46930 as well as the four other procedures that employ this infrared coagulator for CY 2009. 4. CPT Code 64632 For CPT code 64632, Destruction by neurolytic agent; plantar common digital nerve, the AMA RUC recommended that supply code SH062, a sclerosing solution for injection, be used as a proxy for the neurolytic agent needed to perform this procedure. We are concerned about the appropriateness of this substitution suggested by the specialty society. The society stated that it was not able to find pricing for either phenol or 4 percent ethyl alcohol, which the society believes are the commonly used analytics for this procedure. We ask commenters to provide us documentation for pricing of the phenol or 4 percent ethyl alcohol that are appropriately used in furnishing this service. In the interim, we will accept the recommendation to use the $2.029 sclerosing solution as the proxy for the analytic agent. 5. CPT Code Series 90951 through 90966 For the End-Stage Renal Disease (ESRD) Services including new CPT codes 90951, 90952, 90953, 90954, 90955, 930
CMS-1403-FC 90956, 90957, 90958, 90959, 90960, 90961, 90962, 90963, 90964, 90965 and 90966, the AMA RUC recommended PE direct inputs (36 minutes of clinical labor for the pre-service period and an additional 6 minutes in the post period for CPT codes 90960, 90961, 90962 and 90966) for the monthly capitation payments. For CPT codes 90967, 90968, 90969, and 90970, the ESRD codes representing per-day payments, the AMA RUC PE recommendations included 1.2 minutes of clinical labor per day. Prior to accepting these PE recommendations, we have asked the AMA RUC to review the PE inputs at an upcoming meeting to make certain that they accurately reflect the typical direct resources required for these services. In the interim, we will continue to use the established PE RVUs for these services. In addition, for CPT codes 90960 and 90961, we will ask the RUC to review the physician times for these services. 6. CPT Code 93306 The AMA RUC recommended PE direct inputs for CPT code 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. However, the AMA RUC did not recommend any changes to the PE direct inputs for the related echocardiography codes 93307, 93320 and 93325. 931
- 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 and 926: CMS-1403-FC Although not discussed
- Page 927 and 928: CMS-1403-FC for New and Revised 200
- Page 929: CMS-1403-FC item. In addition, the
- 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
- Page 977 and 978: CMS-1403-FC the CF. Therefore, this
- Page 979 and 980: CMS-1403-FC estimate that CY 2009 R
<strong>CMS</strong>-1403-FC<br />
relationship to the light guide. In the interim, while we<br />
await comments, we have assigned the new equipment price<br />
including the light guide to the new CPT code 46930 as well<br />
as the four other procedures that employ this infrared<br />
coagulator for CY 2009.<br />
4. CPT Code 64632<br />
For CPT code 64632, Destruction by neurolytic agent;<br />
plantar common digital nerve, the AMA RUC recommended that<br />
supply code SH062, a sclerosing solution for injection, be<br />
used as a proxy for the neurolytic agent needed to perform<br />
this procedure. We are concerned about the appropriateness<br />
of this substitution suggested by the specialty society.<br />
The society stated that it was not able to find pricing for<br />
either phenol or 4 percent ethyl alcohol, which the society<br />
believes are the commonly used analytics for this<br />
procedure. We ask commenters to provide us <strong>document</strong>ation<br />
for pricing of the phenol or 4 percent ethyl alcohol that<br />
are appropriately used in furnishing this service. In the<br />
interim, we will accept the recommendation to use the<br />
$2.029 sclerosing solution as the proxy for the analytic<br />
agent.<br />
5. CPT Code Series 90951 through 90966<br />
For the End-Stage Renal Disease (ESRD) Services<br />
including new CPT codes 90951, 90952, 90953, 90954, 90955,<br />
930