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

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