[Federal Register: November 2, 1999 (Volume 64, Number 211)] [Rules and Regulations] [Page 59579-59590] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr02no99-20] [[pp. 59579-59590]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2000 [[Continued from page 59578]] [[Page 59578]] P2028.......... ............. X Cephalin floculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. P2029.......... ............. X Congo red blood test.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2031.......... ............. N Hair analysis......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2033.......... ............. X Blood thymol turbidity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2038.......... ............. X Blood mucoprotein..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P3000.......... ............. X Screen pap by tech w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX md supv. P3001.......... ............. A Screening pap smear by 0.42 0.20 0.28 0.20 0.28 0.01 0.63 0.71 0.63 0.71 XXX phys. P7001.......... ............. I Culture bacterial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX urine. P9010.......... ............. E Whole blood for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX transfusion. P9011.......... ............. E Blood split unit...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9012.......... ............. E Cryoprecipitate each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9013.......... ............. E Unit/s blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX fibrinogen. P9016.......... ............. E Leukocyte poor blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9017.......... ............. E One donor fresh frozn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX plasma. P9018.......... ............. E Plasma protein fract, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9019.......... ............. E Platelet concentrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9020.......... ............. E Plaelet rich plasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9021.......... ............. E Red blood cells unit.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9022.......... ............. E Washed red blood cells 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9023.......... ............. X Frozen plasma, pooled, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sd. P9603.......... ............. X One-way allow prorated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX miles. P9604.......... ............. X One-way allow prorated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX trip. P9612.......... ............. X Catheterize for urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX spec. P9615.......... ............. X Urine specimen collect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. Q0034.......... ............. X Admin of influenza 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX vaccine. Q0035.......... ............. A Cardiokymography...... 0.17 0.46 0.50 0.46 0.50 0.03 0.66 0.70 0.66 0.70 XXX Q0035.......... TC........... A Cardiokymography...... 0.00 0.39 0.40 0.39 0.40 0.02 0.41 0.42 0.41 0.42 XXX Q0035.......... 26........... A Cardiokymography...... 0.17 0.07 0.10 0.07 0.10 0.01 0.25 0.28 0.25 0.28 XXX Q0068.......... ............. D Extracorpeal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 plasmapheresis. Q0091.......... ............. A Obtaining screen pap 0.37 0.66 0.48 0.14 0.22 0.01 1.04 0.86 0.52 0.60 XXX smear. Q0092.......... ............. A Set up port xray 0.00 0.32 0.33 0.32 0.33 0.01 0.33 0.34 0.33 0.34 XXX equipment. Q0111.......... ............. X Wet mounts/ w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX preparations. Q0112.......... ............. X Potassium hydroxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX preps. Q0113.......... ............. X Pinworm examinations.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0114.......... ............. X Fern test............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0115.......... ............. X Post-coital mucous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX exam. Q0132.......... ............. D Dispensing fee DME neb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX drug. Q0136.......... ............. X Non esrd epoetin alpha 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. Q0144.......... ............. N Azithromycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX dihydrate, oral. Q0156.......... ............. X Human albumin 5%...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0157.......... ............. X Human albumin 25%..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0160.......... ............. X Factor IX non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX recombinant. Q0161.......... ............. X Factor IX recombinant. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0163.......... ............. X Diphenhydramine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50mg. Q0164.......... ............. X Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX maleate 5mg. Q0165.......... ............. X Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX maleate10mg. Q0166.......... ............. X Granisetron HCl 1 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX oral. Q0167.......... ............. X Dronabinol 2.5mg oral. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0168.......... ............. X Dronabinol 5mg oral... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0169.......... ............. X Promethazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12.5mg oral. Q0170.......... ............. X Promethazine HCl 25 mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX oral. Q0171.......... ............. X Chlorpromazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 10mg oral. Q0172.......... ............. X Chlorpromazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 25mg oral. Q0173.......... ............. X Trimethobenzamide HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 250mg. Q0174.......... ............. X Thiethylperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX maleate10mg. Q0175.......... ............. X Perphenazine 4mg oral. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0176.......... ............. X Perphenazine 8mg oral. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0177.......... ............. X Hydroxyzine pamoate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 25mg. Q0178.......... ............. X Hydroxyzine pamoate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50mg. Q0179.......... ............. X Ondansetron HCl 8mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX oral. Q0180.......... ............. X Dolasetron mesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX oral. Q0181.......... ............. X Unspecified oral anti- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX emetic. Q0183.......... ............. E Nonmetabolic active 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX tissue. Q0184.......... ............. E Metabolically active 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX tissue. Q0185.......... ............. E Metabolic active D/E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX tissue. Q0186.......... ............. E Paramedic intercept, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX rural. Q0187.......... ............. E Factor viia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX recombinant. Q1001.......... ............. E Ntiol category 1...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1002.......... ............. E Ntiol category 2...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1003.......... ............. E Ntiol category 3...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1004.......... ............. E Ntiol category 4...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q1005.......... ............. E Ntiol category 5...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9920.......... ............. E Epoetin with hct <= 20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9921.......... ............. E Epoetin with hct = 21. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9922.......... ............. E Epoetin with hct = 22. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9923.......... ............. E Epoetin with hct = 23. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9924.......... ............. E Epoetin with hct = 24. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9925.......... ............. E Epoetin with hct = 25. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9926.......... ............. E Epoetin with hct = 26. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9927.......... ............. E Epoetin with hct = 27. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9928.......... ............. E Epoetin with hct = 28. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59579]] Q9929.......... ............. E Epoetin with hct = 29. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9930.......... ............. E Epoetin with hct = 30. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9931.......... ............. E Epoetin with hct = 31. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9932.......... ............. E Epoetin with hct = 32. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9933.......... ............. E Epoetin with hct = 33. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9934.......... ............. E Epoetin with hct = 34. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9935.......... ............. E Epoetin with hct = 35. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9936.......... ............. E Epoetin with hct = 36. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9937.......... ............. E Epoetin with hct = 37. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9938.......... ............. E Epoetin with hct = 38. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9939.......... ............. E Epoetin with hct = 39. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9940.......... ............. E Epoetin with hct = 40. R0070.......... ............. C Transport portable x- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ray. R0075.......... ............. C Transport port x-ray 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX multipl. R0076.......... ............. B Transport portable EKG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0009.......... ............. I Injection, butorphanol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX tartr. S0010.......... ............. I Injection, somatrem, 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. S0011.......... ............. I Injection, somatropin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 5 mg. S0012.......... ............. I Butorphanol tartrate, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX nasal. S0014.......... ............. I Tacrine hydrochloride, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 10 mg. S0016.......... ............. I Injection, amikacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sulfate. S0017.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aminocaproic acid. S0020.......... ............. I Injection, bupivicaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydro. S0021.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ceftoperazone sod. S0023.......... ............. I Injection, cimetidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydroc. S0024.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ciprofloxacin. S0028.......... ............. I Injection, famotidine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20 mg. S0029.......... ............. I Injection, fluconazole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0030.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX metronidazole. S0032.......... ............. I Injection, nafcillin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sodium. S0034.......... ............. I Injection, ofloxacin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 400 mg. S0039.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sulfamethoxazole. S0040.......... ............. I Injection, ticarcillin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX disod. S0071.......... ............. I Injection, acyclovir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sodium. S0072.......... ............. I Injection, amikacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sulfate. S0073.......... ............. I Injection, aztreonam, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 500 mg. S0074.......... ............. I Injection, cefotetan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX disodiu. S0077.......... ............. I Injection, clindamycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX phosp. S0078.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX fosphenytoin sodi. S0080.......... ............. I Injection, pentamidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX iseth. S0081.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX piperacillin sodi. S0090.......... ............. I Sildenafil citrate, 25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. S0096.......... ............. I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX itraconazole, 200. S0097.......... ............. I Injection, ibutilide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX fumarat. S0098.......... ............. I Injection, sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ferric glu. S0601.......... ............. I Screening proctoscopy. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S0605.......... ............. I Digital rectal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX examination,. S0610.......... ............. I Annual gynecological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX examina. S0612.......... ............. I Annual gynecological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX examina. S0620.......... ............. I Routine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ophthalmological exa. S0621.......... ............. I Routine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ophthalmological exa. S0800.......... ............. I Laser in situ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX keratomileusis. S0810.......... ............. I Photorefractive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX keratectomy. S2050.......... ............. I Donor enterectomy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX with prep. S2052.......... ............. I Transplantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX small int. S2053.......... ............. I Transplantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX small int. S2054.......... ............. I Transplantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX multivisc. S2055.......... ............. I Harvesting of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX multivis. S2109.......... ............. I Autologous chondrocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX trans. S2190.......... ............. I Subcutaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX implantation of. S2204.......... ............. I Transmyocardial laser 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX revasc. S2205.......... ............. I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX direct co. S2206.......... ............. I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX direct co. S2207.......... ............. I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX direct co. S2208.......... ............. I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX direct co. S2209.......... ............. I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX direct co. S2210.......... ............. I Cryosurgical ablation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX (in si. S2300.......... ............. I Arthroscopy, shoulder, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX surgi. S2350.......... ............. I Diskectomy, anterior, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX with d. S2351.......... ............. I Diskectomy, anterior, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX with d. S3645.......... ............. I HIV-1 antibody testing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX of or. S3650.......... ............. I Saliva test, hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX level;. S3652.......... ............. I Saliva test, hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX level;. S8035.......... ............. I Magnetic source 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX imaging. S8040.......... ............. I Topographic brain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX mapping. S8048.......... ............. I Isolated limb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX perfusion. S8049.......... ............. I Intraoperative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX radiation the. S8060.......... ............. I Supply of contrast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX material. S8092.......... ............. I Electron beam computed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX tomog. S8095.......... ............. I Wig (for medically- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX induced h. S8096.......... ............. I Portable peak flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX meter. [[Page 59580]] S8110.......... ............. I Peak expiratory flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX rate (p. S8200.......... ............. I Chest compression vest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S8205.......... ............. I Chest compression 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX system gen. S8260.......... ............. I Oral orthotic for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX treatment. S8300.......... ............. I Sacral nerve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX stimulation tes. S8950.......... ............. I Complex lymphedema 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX therapy,. S9001.......... ............. I Home uterine monitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX with or. S9022.......... ............. I Digital subtraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX angiogra. S9023.......... ............. I Xenon regional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX cerebral bloo. S9024.......... ............. I Paranasal sinus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ultrasound. S9033.......... ............. I Gait analysis......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX S9055.......... ............. I Procuren or other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX growth fac. S9056.......... ............. I Coma stimulation per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX diem. S9075.......... ............. I Smoking cessation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX treatment. S9085.......... ............. I Meniscal allograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX transplan. S9090.......... ............. I Vertebral axial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX decompressio. S9122.......... ............. I Home health aide or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX certifie. S9123.......... ............. I Nursing care, in the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX home; b. S9124.......... ............. I Nursing care, in the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX home; b. S9125.......... ............. I Respite care, in the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX home, p. S9126.......... ............. I Hospice care, in the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX home, p. S9127.......... ............. I Social work visit, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX the ho. S9128.......... ............. I Speech therapy, in the 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX home,. S9129.......... ............. I Occupational therapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX in the. S9140.......... ............. I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Program,. S9141.......... ............. I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Program,. S9455.......... ............. I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Program,. S9460.......... ............. I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Program,. S9465.......... ............. I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Program,. S9470.......... ............. I Nutritional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX counseling, diet. S9472.......... ............. I Cardiac rehabilitation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX progr. S9473.......... ............. I Pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX rehabilitation pro. S9474.......... ............. I Enterostomal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX by a re. S9475.......... ............. I Ambulatory setting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX substance. S9480.......... ............. I Intensive outpatient 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX psychia. S9485.......... ............. I Crisis intervention 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX mental h. S9524.......... ............. I Nursing services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX related to. S9527.......... ............. I Insertion of a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX peripherally. S9528.......... ............. I Insertion of midline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX central. S9543.......... ............. I Administration of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX medication. S9990.......... ............. I Services provided as 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX part of. S9991.......... ............. I Services provided as 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX part of. S9992.......... ............. I Transportation costs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX to and. S9994.......... ............. I Lodging costs (e.g. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hotel ch. S9996.......... ............. I Meals for clinical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX trial par. S9999.......... ............. I Sales tax............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2020.......... ............. X Vision svcs frames 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX purchases. V2025.......... ............. N Eyeglasses delux 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX frames. V2100.......... ............. X Lens spher single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX plano 4.00. V2101.......... ............. X Single visn sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.12-7.00. V2102.......... ............. X Singl visn sphere 7.12- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20.00. V2103.......... ............. X Spherocylindr 4.00d/12- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.00d. V2104.......... ............. X Spherocylindr 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.12-4d. V2105.......... ............. X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-6d. V2106.......... ............. X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 6.00d. V2107.......... ............. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12-2d. V2108.......... ............. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.12-4d. V2109.......... ............. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-6d. V2110.......... ............. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 6d. V2111.......... ............. X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX .25-2.25. V2112.......... ............. X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.25-4d. V2113.......... ............. X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-6d. V2114.......... ............. X Spherocylinder over 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12.00d. V2115.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocal. V2116.......... ............. X Nonaspheric lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocal. V2117.......... ............. X Aspheric lens bifocal. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2118.......... ............. X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX single. V2199.......... ............. X Lens single vision not 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX oth c. V2200.......... ............. X Lens spher bifoc plano 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d. V2201.......... ............. X Lens sphere bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.12-7.0. V2202.......... ............. X Lens sphere bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7.12-20.. V2203.......... ............. X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d/.1. V2204.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d/2.1. V2205.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d/4.2. V2206.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d/ove. V2207.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7d/.. V2208.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/2.. V2209.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/4.. V2210.......... ............. X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/ov. V2211.......... ............. X Lens sphcy bifo 7.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12/.25-. V2212.......... ............. X Lens sphcyl bifo 7.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12/2.2. [[Page 59581]] V2213.......... ............. X Lens sphcyl bifo 7.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12/4.2. V2214.......... ............. X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 12.. V2215.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocal. V2216.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX nonaspheric. V2217.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aspheric bif. V2218.......... ............. X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocal. V2219.......... ............. X Lens bifocal seg width 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX over. V2220.......... ............. X Lens bifocal add over 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3.25d. V2299.......... ............. X Lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX speciality. V2300.......... ............. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d. V2301.......... ............. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.12-7.. V2302.......... ............. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7.12-20. V2303.......... ............. X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.0/.12-. V2304.......... ............. X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.0/2.25. V2305.......... ............. X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.0/4.25. V2306.......... ............. X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00/6. V2307.......... ............. X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/.. V2308.......... ............. X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/2.. V2309.......... ............. X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/4.. V2310.......... ............. X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-7/6. V2311.......... ............. X Lens sphc trifo 7.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12/.25-. V2312.......... ............. X Lens sphc trifo 7.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12/2.25. V2313.......... ............. X Lens sphc trifo 7.25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12/4.25. V2314.......... ............. X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 12. V2315.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX trifocal. V2316.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX nonaspheric. V2317.......... ............. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aspheric tri. V2318.......... ............. X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX trifocal. V2319.......... ............. X Lens trifocal seg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX width 28. V2320.......... ............. X Lens trifocal add over 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3.25d. V2399.......... ............. X Lens trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX speciality. V2410.......... ............. X Lens variab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX asphericity sing. V2430.......... ............. X Lens variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX asphericity bi. V2499.......... ............. X Variable asphericity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2500.......... ............. X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX spherical. V2501.......... ............. X Cntct lens pmma-toric/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX prism. V2502.......... ............. X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocal. V2503.......... ............. X Cntct lens pmma color 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX vision. V2510.......... ............. X Cntct gas permeable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX sphericl. V2511.......... ............. X Cntct toric prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ballast. V2512.......... ............. X Cntct lens gas permbl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocl. V2513.......... ............. X Contact lens extended 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX wear. V2520.......... ............. P Contact lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydrophilic. V2521.......... ............. X Cntct lens hydrophilic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX toric. V2522.......... ............. X Cntct lens hydrophil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocl. V2523.......... ............. X Cntct lens hydrophil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX extend. V2530.......... ............. X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX impermeable. V2531.......... ............. X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX permeable. V2599.......... ............. X Contact lens/es other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX type. V2600.......... ............. X Hand held low vision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aids. V2610.......... ............. X Single lens spectacle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX mount. V2615.......... ............. X Telescop/othr compound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2623.......... ............. X Plastic eye prosth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX custom. V2624.......... ............. X Polishing artifical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX eye. V2625.......... ............. X Enlargemnt of eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. V2626.......... ............. X Reduction of eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. V2627.......... ............. X Scleral cover shell... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2628.......... ............. X Fabrication & fitting. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2629.......... ............. X Prosthetic eye other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX type. V2630.......... ............. X Anter chamber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX intraocul lens. V2631.......... ............. X Iris support intraoclr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2632.......... ............. X Post chmbr intraocular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2700.......... ............. X Balance lens.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2710.......... ............. X Glass/plastic slab off 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX prism. V2715.......... ............. X Prism lens/es......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2718.......... ............. X Fresnell prism press- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX on lens. V2730.......... ............. X Special base curve.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2740.......... ............. X Rose tint plastic..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2741.......... ............. X Non-rose tint plastic. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2742.......... ............. X Rose tint glass....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2743.......... ............. X Non-rose tint glass... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2744.......... ............. X Tint photochromatic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens/es. V2750.......... ............. X Anti-reflective 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX coating. V2755.......... ............. X UV lens/es............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2760.......... ............. X Scratch resistant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX coating. V2770.......... ............. X Occluder lens/es...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2780.......... ............. X Oversize lens/es...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2781.......... ............. X Progressive lens per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2785.......... ............. X Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX processing. V2799.......... ............. X Miscellaneous vision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. V5008.......... ............. N Hearing screening..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59582]] V5010.......... ............. N Assessment for hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5011.......... ............. N Hearing aid fitting/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX checking. V5014.......... ............. N Hearing aid repair/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX modifying. V5020.......... ............. N Conformity evaluation. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5030.......... ............. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX air. V5040.......... ............. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX bone. V5050.......... ............. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX in ear. V5060.......... ............. N Behind ear hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5070.......... ............. N Glasses air conduction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5080.......... ............. N Glasses bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX conduction. V5090.......... ............. N Hearing aid dispensing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX fee. V5100.......... ............. N Body-worn bilat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5110.......... ............. N Hearing aid dispensing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX fee. V5120.......... ............. N Body-worn binaur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5130.......... ............. N In ear binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5140.......... ............. N Behind ear binaur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing ai. V5150.......... ............. N Glasses binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5160.......... ............. N Dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX binaural. V5170.......... ............. N Within ear cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5180.......... ............. N Behind ear cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5190.......... ............. N Glasses cros hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5200.......... ............. N Cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX dispens fee. V5210.......... ............. N In ear bicros hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5220.......... ............. N Behind ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing ai. V5230.......... ............. N Glasses bicros hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5240.......... ............. N Dispensing fee bicros. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5299.......... ............. R Hearing service....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5336.......... ............. N Repair communication 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX device. V5362.......... ............. R Speech screening...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5363.......... ............. R Language screening.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5364.......... ............. R Dysphagia screening... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ \4\ PE RVUs = Practice Expense Relative Value Units. [[Page 59582]] Addendum C.--Codes With Interim RVUs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Year Year Fully 2000 Year Fully 2000 Year Physician Implemented Transi- Fully 2000 Mal- Implemented Transi- Fully 2000 CPT 1/ HCPCS 2 Mod Status Description work RVUs Non- tional Implemented Transi- practice Non- tional Implemented Transi- Global 3 facility PE Non- Facility PE tional RVUs facility Non- Facility tional RVUs facility RVUs Facility Total Facility Total Facility PE RVUs PE RVUs Total Total ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 11980.......... ............. A Implant hormone 1.48 1.48 1.48 0.57 0.57 0.11 3.07 3.07 2.16 2.16 000 pellet(s). 13102.......... ............. A Repair wound/lesion 1.24 0.71 0.71 0.57 0.57 0.08 2.03 2.03 1.89 1.89 ZZZ add-on. 13122.......... ............. A Repair wound/lesion 1.44 0.83 0.83 0.66 0.66 0.09 2.36 2.36 2.19 2.19 ZZZ add-on. 13133.......... ............. A Repair wound/lesion 2.19 1.18 1.18 1.01 1.01 0.12 3.49 3.49 3.32 3.32 ZZZ add-on. 13153.......... ............. A Repair wound/lesion 2.38 1.31 1.31 1.09 1.09 0.15 3.84 3.84 3.62 3.62 ZZZ add-on. 20979.......... ............. A Us bone stimulation... 0.17 0.25 0.25 0.07 0.07 0.01 0.43 0.43 0.25 0.25 000 22318.......... ............. A Treat odontoid fx w/o 21.50 NA NA 14.50 14.50 3.89 NA NA 39.89 39.89 090 graft. 22319.......... ............. A Treat odontoid fx w/ 24.00 NA NA 16.72 16.72 4.34 NA NA 45.06 45.06 090 graft. 27096.......... ............. A Inject sacroiliac 1.10 9.96 9.96 0.36 0.36 0.09 11.15 11.15 1.55 1.55 000 joint. 33140.......... ............. A Heart revascularize 20.00 NA NA 13.15 13.15 2.56 NA NA 35.71 35.71 090 (tmr). 33244.......... ............. A Remove eltrd, transven 13.76 NA NA 9.22 9.51 1.83 NA NA 24.81 25.10 090 33249.......... ............. A Eltrd/insert pace- 14.23 NA NA 9.87 12.87 1.79 NA NA 25.89 28.89 090 defib. 33282.......... ............. A Implant pat-active ht 4.17 NA NA 5.99 5.99 0.53 NA NA 10.69 10.69 090 record. 33284.......... ............. A Remove pat-active ht 2.50 NA NA 5.46 5.46 0.33 NA NA 8.29 8.29 090 record. 33405.......... ............. A Replacement of aortic 30.61 NA NA 22.51 27.80 3.97 NA NA 57.09 62.38 090 valve. 33410.......... ............. A Replacement of aortic 32.46 NA NA 23.27 23.27 4.21 NA NA 59.94 59.94 090 valve. 33968.......... ............. A Remove aortic assist 0.64 0.25 0.25 0.25 0.25 0.27 1.16 1.16 1.16 1.16 090 device. 35879.......... ............. A Revise graft w/vein... 16.00 NA NA 8.46 8.46 1.97 NA NA 26.43 26.43 090 35881.......... ............. A Revise graft w/vein... 18.00 NA NA 8.77 8.77 2.21 NA NA 28.98 28.98 090 36521.......... ............. A Apheresis w/ adsorp/ 1.74 NA NA 0.65 0.65 0.09 NA NA 2.48 2.48 000 reinfuse. 36550.......... ............. A Declot vascular device 0.00 0.51 0.51 0.06 0.06 0.32 0.83 0.83 0.38 0.38 XXX 36819.......... ............. A Av fusion by basilic 14.00 NA NA 6.65 6.65 1.55 NA NA 22.20 22.20 090 vein. 39560.......... ............. A Resect diaphragm, 12.00 NA NA 8.79 8.79 1.22 NA NA 22.01 22.01 090 simple. 39561.......... ............. A Resect diaphragm, 17.50 NA NA 10.89 10.89 1.79 NA NA 30.18 30.18 090 complex. 50541.......... ............. A Laparo ablate renal 16.00 NA NA 6.53 6.53 1.03 NA NA 23.56 23.56 090 cyst. 50544.......... ............. A Laparoscopy, 22.40 NA NA 8.70 8.70 1.36 NA NA 32.46 32.46 090 pyeloplasty. 50546.......... ............. A Laparoscopic 20.48 NA NA 8.23 8.23 1.41 NA NA 30.12 30.12 090 nephrectomy. 50547.......... ............. A Laparo removal donor 25.50 NA NA 11.21 11.21 1.98 NA NA 38.69 38.69 090 kidney. 50548.......... ............. A Laparo-asst remove k/ 24.40 NA NA 9.42 9.42 1.52 NA NA 35.34 35.34 090 ureter. 50945.......... ............. A Laparoscopy 17.00 NA NA 6.84 6.84 1.07 NA NA 24.91 24.91 090 ureterolithotomy. 51990.......... ............. A Laparo urethral 12.50 NA NA 5.94 5.94 0.87 NA NA 19.31 19.31 090 suspension. 51992.......... ............. A Laparo sling operation 14.01 NA NA 6.15 6.15 0.86 NA NA 21.02 21.02 090 54692.......... ............. A Laparoscopy, 12.88 NA NA 5.56 5.56 0.87 NA NA 19.31 19.31 090 orchiopexy. 61751.......... ............. A Brain biopsy w/ ct/mr 17.62 NA NA 10.76 15.90 3.47 NA NA 31.85 36.99 090 guide. 61862.......... ............. A Implant neurostimul, 19.34 NA NA 12.02 12.02 3.89 NA NA 35.25 35.25 090 subcort. 61885.......... ............. A Implant neurostim one 8.00 NA NA 4.04 3.09 1.18 NA NA 13.22 12.27 090 array. 61886.......... ............. A Implant neurostim 8.00 NA NA 5.98 5.98 1.43 NA NA 15.41 15.41 090 arrays. 62263.......... ............. A Lysis epidural 6.02 4.61 4.61 2.18 2.18 0.88 11.51 11.51 9.08 9.08 000 adhesions. [[Page 59583]] 62310.......... ............. A Inject spine c/t...... 1.91 3.24 3.24 0.38 0.38 0.26 5.41 5.41 2.55 2.55 000 62311.......... ............. A Inject spine l/s (cd). 1.54 3.66 3.66 0.33 0.33 0.25 5.45 5.45 2.12 2.12 000 62318.......... ............. A Inject spine w/cath, c/ 2.04 3.29 3.29 0.40 0.40 0.32 5.65 5.65 2.76 2.76 000 t. 62319.......... ............. A Inject spine w/cath l/ 1.87 3.35 3.35 0.35 0.35 0.28 5.50 5.50 2.50 2.50 000 s (cd). 64470.......... ............. A Inj paravertebral c/t. 1.85 3.60 3.60 0.46 0.46 0.12 5.57 5.57 2.43 2.43 000 64472.......... ............. A Inj paravertebral c/t 1.29 3.29 3.29 0.35 0.35 0.09 4.67 4.67 1.73 1.73 ZZZ add-on. 64479.......... ............. A Inj foramen epidural c/ 2.20 3.70 3.70 0.55 0.55 0.15 6.05 6.05 2.90 2.90 000 t. 64480.......... ............. A Inj foramen epidural 1.54 3.80 3.80 0.36 0.36 0.11 5.45 5.45 2.01 2.01 ZZZ add-on. 64483.......... ............. A Inj foramen epidural l/ 1.90 3.58 3.58 0.47 0.47 0.10 5.58 5.58 2.47 2.47 000 s. 64484.......... ............. A Inj foramen epidural 1.33 3.72 3.72 0.31 0.31 0.10 5.15 5.15 1.74 1.74 ZZZ add-on. 64573.......... ............. A Implant 7.50 NA NA 5.34 4.39 0.84 NA NA 13.68 12.73 090 neuroelectrodes. 64626.......... ............. A Destr paravertebrl 3.28 3.59 3.59 0.90 0.90 0.22 7.09 7.09 4.40 4.40 010 nerve c/t. 64627.......... ............. A Destr paravertebral n 1.16 2.99 2.99 0.32 0.32 0.08 4.23 4.23 1.56 1.56 ZZZ add-on. 72275.......... 26........... A Epidurography......... 0.54 0.14 0.14 0.14 0.14 0.05 0.73 0.73 0.73 0.73 XXX 72285.......... 26........... A X-ray c/t spine disk.. 1.16 0.34 0.38 0.34 0.38 0.04 1.54 1.58 1.54 1.58 XXX 73542.......... 26........... A X-ray exam, sacroiliac 0.54 0.15 0.15 0.15 0.15 0.04 0.73 0.73 0.73 0.73 XXX joint. 76005.......... 26........... A Fluoroguide for spine 0.60 0.17 0.17 0.17 0.17 0.03 0.80 0.80 0.80 0.80 XXX inject. 76873.......... 26........... A Echograp trans r, pros 1.38 0.43 0.43 0.43 0.43 0.07 1.88 1.88 1.88 1.88 XXX study. 77427.......... ............. A Radiation tx 3.31 1.08 1.08 1.08 1.08 0.11 4.50 4.50 4.50 4.50 XXX management, x5. 78267.......... ............. X Breath tst attain/anal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX c-14. 78268.......... ............. X Breath test analysis, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX c-14. 78456.......... 26........... A Acute venous thrombus 1.00 0.30 0.30 0.30 0.30 0.05 1.35 1.35 1.35 1.35 XXX image. 92961.......... ............. A Cardioversion, 4.60 1.54 1.54 1.54 1.54 0.31 6.45 6.45 6.45 6.45 000 electric, int. 93727.......... ............. A Analyze ilr system.... 0.52 0.21 0.21 0.21 0.21 0.02 0.75 0.75 0.75 0.75 XXX 93741.......... 26........... A Analyze ht pace device 0.64 0.25 0.25 0.25 0.25 0.02 0.91 0.91 0.91 0.91 XXX sngl. 93742.......... 26........... A Analyze ht pace device 0.73 0.28 0.28 0.28 0.28 0.02 1.03 1.03 1.03 1.03 XXX sngl. 93743.......... 26........... A Analyze ht pace device 0.83 0.32 0.32 0.32 0.32 0.02 1.17 1.17 1.17 1.17 XXX dual. 93744.......... 26........... A Analyze ht pace device 0.95 0.37 0.37 0.37 0.37 0.02 1.34 1.34 1.34 1.34 XXX dual. 96570.......... ............. A Photodynamic tx, 30 1.10 0.71 0.71 0.43 0.43 0.28 2.09 2.09 1.81 1.81 000 min. 96571.......... ............. A Photodynamic tx, addl 0.55 0.31 0.31 0.21 0.21 0.28 1.14 1.14 1.04 1.04 000 15 min. 99170.......... ............. A Anogenital exam, child 1.75 1.82 1.82 0.68 0.68 0.11 3.68 3.68 2.54 2.54 000 99173.......... ............. N Visual screening test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99291.......... ............. A Critical care, first 3.60 1.38 1.47 1.15 1.35 0.14 5.12 5.21 4.89 5.09 XXX hour. 99292.......... ............. A Critical care, addl 30 1.80 0.76 0.72 0.57 0.63 0.08 2.64 2.60 2.45 2.51 ZZZ min. G0102.......... ............. A Prostate ca screening; 0.17 0.07 0.07 0.07 0.07 0.02 0.26 0.26 0.26 0.26 XXX dre. G0159.......... ............. C Perc declot dialysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX graft. G0166.......... ............. A Extrnl counterpulse, 0.07 3.40 3.40 0.03 0.03 0.01 3.48 3.48 0.11 0.11 XXX per tx. G0167.......... ............. A Hyperbaric oz tx;no md 0.00 0.73 0.73 0.73 0.73 0.02 0.75 0.75 0.75 0.75 XXX reqrd. G0168.......... ............. A Wound closure by 0.45 1.12 1.12 0.25 0.25 0.02 1.59 1.59 0.72 0.72 010 adhesive. G0169.......... ............. A Removal tissue; no 0.50 0.36 0.36 0.36 0.36 0.04 0.90 0.90 0.90 0.90 XXX anesthsia. G0170.......... ............. A Skin biograft......... 1.50 1.50 1.50 0.38 0.38 0.39 3.39 3.39 2.27 2.27 010 G0171.......... ............. A Skin biograft add-on.. 0.38 2.87 2.87 1.03 1.03 0.39 3.64 3.64 1.80 1.80 ZZZ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Addendum D.--1999/2000 Geographic Practice Cost Indices by Medicare Carrier and Locality ---------------------------------------------------------------------------------------------------------------- Locality Practice Carrier No. No. Locality name Work expense Malpractice ---------------------------------------------------------------------------------------------------------------- 00510......................... 00 ALABAMA.............................. 0.978 0.872 0.876 00831......................... 01 ALASKA............................... 1.063 1.173 1.533 00832......................... 00 ARIZONA.............................. 0.995 0.971 1.189 00520......................... 13 ARKANSAS............................. 0.953 0.855 0.403 02050......................... 26 ANAHEIM/SANTA ANA, CA................ 1.036 1.191 0.846 02050......................... 18 LOS ANGELES, CA...................... 1.055 1.199 0.846 31140......................... 03 MARIN/NAPA/SOLANO, CA................ 1.014 1.161 0.667 31140......................... 07 OAKLAND/BERKLEY, CA.................. 1.040 1.196 0.667 31140......................... 05 SAN FRANCISCO, CA.................... 1.067 1.299 0.667 31140......................... 06 SAN MATEO, CA........................ 1.047 1.274 0.667 31140......................... 09 SANTA CLARA, CA...................... 1.062 1.262 0.667 02050......................... 17 VENTURA, CA.......................... 1.027 1.131 0.717 02050......................... 99 REST OF STATE*....................... 1.008 1.043 0.698 31140......................... 99 REST OF STATE*....................... 1.008 1.043 0.698 00824......................... 01 COLORADO............................. 0.987 0.970 0.795 10230......................... 00 CONNECTICUT.......................... 1.049 1.172 1.052 00570......................... 01 DELAWARE............................. 1.019 1.028 0.860 00580......................... 01 DC + MD/VA SUBURBS................... 1.050 1.161 1.032 00590......................... 03 FORT LAUDERDALE, FL.................. 0.996 1.026 1.783 00590......................... 04 MIAMI, FL............................ 1.015 1.077 2.350 00590......................... 99 REST OF STATE........................ 0.975 0.948 1.327 00511......................... 01 ATLANTA, GA.......................... 1.006 1.034 0.951 00511......................... 99 REST OF STATE........................ 0.970 0.900 0.951 00833......................... 01 HAWAII/GUAM.......................... 0.998 1.183 0.954 05130......................... 00 IDAHO................................ 0.960 0.892 0.566 [[Page 59584]] 00621......................... 16 CHICAGO, IL.......................... 1.027 1.088 1.693 00621......................... 12 EAST ST. LOUIS, IL................... 0.988 0.931 1.487 00621......................... 15 SUBURBAN CHICAGO, IL................. 1.006 1.067 1.365 00621......................... 99 REST OF STATE........................ 0.963 0.886 0.990 00630......................... 00 INDIANA.............................. 0.981 0.917 0.408 00640......................... 00 IOWA................................. 0.958 0.882 0.648 00650......................... 00 KANSAS*.............................. 0.963 0.898 0.890 00740......................... 04 KANSAS*.............................. 0.963 0.898 0.890 00660......................... 00 KENTUCKY............................. 0.970 0.874 0.807 00528......................... 01 NEW ORLEANS, LA...................... 0.998 0.950 1.153 00528......................... 99 REST OF STATE........................ 0.969 0.881 1.031 31142......................... 03 SOUTHERN MAINE....................... 0.979 1.030 0.708 31142......................... 99 REST OF STATE........................ 0.961 0.924 0.708 00901......................... 01 BALTIMORE/SURR. CNTYS, MD............ 1.019 1.039 1.098 00901......................... 99 REST OF STATE........................ 0.985 0.986 0.866 31143......................... 01 METROPOLITAN BOSTON.................. 1.039 1.196 0.713 31143......................... 99 REST OF STATE........................ 1.010 1.093 0.713 00623......................... 01 DETROIT, MI.......................... 1.042 1.022 3.069 00623......................... 99 REST OF STATE........................ 0.996 0.939 1.828 10240......................... 00 MINNESOTA............................ 0.989 0.967 0.507 10250......................... 00 MISSISSIPPI.......................... 0.957 0.846 0.721 00740......................... 02 METROPOLITAN KANSAS CITY, MO......... 0.988 0.949 1.196 11260......................... 01 METROPOLITAN ST. LOUIS, MO........... 0.994 0.943 1.198 00740......................... 99 REST OF STATE*....................... 0.945 0.828 1.165 11260......................... 99 REST OF STATE*....................... 0.945 0.828 1.165 00751......................... 01 MONTANA.............................. 0.951 0.877 0.732 00655......................... 00 NEBRASKA............................. 0.949 0.873 0.443 00834......................... 00 NEVADA............................... 1.005 1.032 0.997 31144......................... 40 NEW HAMPSHIRE........................ 0.988 1.033 1.013 00860......................... 01 NORTHERN NJ.......................... 1.057 1.191 0.795 00860......................... 99 REST OF STATE........................ 1.028 1.094 0.795 00521......................... 05 NEW MEXICO........................... 0.973 0.910 0.716 00803......................... 01 MANHATTAN, NY........................ 1.093 1.353 1.654 00803......................... 02 NYC SUBURBS/LONG I., NY.............. 1.067 1.233 1.932 00803......................... 03 POUGHKPSIE/N NYC SUBURBS, NY......... 1.010 1.084 1.326 14330......................... 04 QUEENS, NY........................... 1.057 1.234 1.839 00801......................... 99 REST OF STATE........................ 0.999 0.959 0.793 05535......................... 00 NORTH CAROLINA....................... 0.970 0.924 0.497 00820......................... 01 NORTH DAKOTA......................... 0.950 0.877 0.656 16360......................... 00 OHIO................................. 0.990 0.939 1.074 00522......................... 00 OKLAHOMA............................. 0.969 0.882 0.451 00835......................... 01 PORTLAND, OR......................... 0.996 1.021 0.587 00835......................... 99 REST OF STATE........................ 0.961 0.938 0.587 00865......................... 01 METROPOLITAN PHILADELPHIA, PA........ 1.024 1.089 1.207 00865......................... 99 REST OF STATE........................ 0.989 0.931 0.637 00973......................... 20 PUERTO RICO.......................... 0.882 0.729 0.359 00870......................... 01 RHODE ISLAND......................... 1.018 1.069 1.189 00880......................... 01 SOUTH CAROLINA....................... 0.975 0.905 0.280 00820......................... 02 SOUTH DAKOTA......................... 0.935 0.873 0.435 05440......................... 35 TENNESSEE............................ 0.975 0.899 0.552 00900......................... 31 AUSTIN, TX........................... 0.986 1.000 0.849 00900......................... 20 BEAUMONT, TX......................... 0.992 0.899 1.386 00900......................... 09 BRAZORIA, TX......................... 0.992 0.977 1.386 00900......................... 11 DALLAS, TX........................... 1.010 1.016 0.930 00900......................... 28 FORT WORTH, TX....................... 0.987 0.971 0.930 00900......................... 15 GALVESTON, TX........................ 0.988 0.970 1.386 00900......................... 18 HOUSTON, TX.......................... 1.020 1.007 1.418 00900......................... 99 REST OF STATE........................ 0.966 0.888 0.871 00910......................... 09 UTAH................................. 0.977 0.909 0.594 31145......................... 50 VERMONT.............................. 0.973 0.984 0.548 00973......................... 50 VIRGIN ISLANDS....................... 0.965 1.034 1.032 10490......................... 00 VIRGINIA............................. 0.985 0.941 0.557 00836......................... 02 SEATTLE (KING CNTY), WA.............. 1.005 1.080 0.742 00836......................... 99 REST OF STATE........................ 0.982 0.976 0.742 16510......................... 16 WEST VIRGINIA........................ 0.963 0.853 1.106 00951......................... 00 WISCONSIN............................ 0.981 0.933 0.841 00825......................... 21 WYOMING.............................. 0.967 0.895 0.705 ---------------------------------------------------------------------------------------------------------------- * Payment locality is serviced by two carriers. [[Page 59585]] Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors to assure budget neutrality: Work = 1.00027; Practice expense = 1.00057; Malpractice = 1.03174. Addendum E.--Reference Set With 2000 Work RVUs ------------------------------------------------------------------------ Glob CPT Code Short descriptor days Work RVU ------------------------------------------------------------------------ 10060................. DRAINAGE OF SKIN ABSCESS.... 010 1.17 10120................. REMOVE FOREIGN BODY......... 010 1.22 11040................. DEBRIDE SKIN, PARTIAL....... 000 0.5 11043................. DEBRIDE TISSUE/MUSCLE....... 010 2.38 11100................. BIOPSY OF SKIN LESION....... 000 0.81 11400................. REMOVAL OF SKIN LESION...... 010 0.91 11406................. REMOVAL OF SKIN LESION...... 010 2.76 11441................. REMOVAL OF SKIN LESION...... 010 1.61 11603................. REMOVAL OF SKIN LESION...... 010 2.35 11642................. REMOVAL OF SKIN LESION...... 010 2.93 11762................. RECONSTRUCTION OF NAIL BED.. 010 2.89 12002................. REPAIR SUPERFICIAL WOUND(S). 010 1.86 14060................. SKIN TISSUE REARRANGEMENT... 090 8.5 15100................. SKIN SPLIT GRAFT............ 090 9.05 15240................. SKIN FULL GRAFT............. 090 9.04 15260................. SKIN FULL GRAFT............. 090 10.06 15734................. MUSCLE-SKIN GRAFT, TRUNK.... 090 17.79 15823................. REVISION OF UPPER EYELID.... 090 7.05 15937................. REMOVE SACRUM PRESSURE SORE. 090 14.21 15946................. REMOVE HIP PRESSURE SORE.... 090 21.57 17000................. DESTROY BENIGN/PREMAL LESION 010 0.6 19240................. REMOVAL OF BREAST........... 090 16 19318................. REDUCTION OF LARGE BREAST... 090 15.62 19364................. BREAST RECONSTRUCTION....... 090 41 19367................. BREAST RECONSTRUCTION....... 090 25.73 20610................. DRAIN/INJECT, JOINT/BURSA... 000 0.79 21267................. REVISE EYE SOCKETS.......... 090 18.9 21395................. TREAT EYE SOCKET FRACTURE... 090 12.68 21433................. TREAT CRANIOFACIAL FRACTURE. 090 25.35 22554................. NECK SPINE FUSION........... 090 18.62 22595................. NECK SPINAL FUSION.......... 090 19.39 23412................. REPAIR OF TENDON(S)......... 090 13.31 25611................. TREAT FRACTURE RADIUS/ULNA.. 090 7.77 26040................. RELEASE PALM CONTRACTURE.... 090 3.33 26045................. RELEASE PALM CONTRACTURE.... 090 5.56 26055................. INCISE FINGER TENDON SHEATH. 090 2.69 26123................. RELEASE PALM CONTRACTURE.... 090 9.29 26356................. REPAIR FINGER/HAND TENDON... 090 8.07 26531................. REVISE KNUCKLE WITH IMPLANT. 090 7.91 26615................. TREAT METACARPAL FRACTURE... 090 5.33 27006................. INCISION OF HIP TENDONS..... 090 9.68 27165................. INCISION/FIXATION OF FEMUR.. 090 17.91 27170................. REPAIR/GRAFT FEMUR HEAD/NECK 090 16.07 27418................. REPAIR DEGENERATED KNEECAP.. 090 10.85 27635................. REMOVE LOWER LEG BONE LESION 090 7.78 27792................. TREATMENT OF ANKLE FRACTURE. 090 7.66 28285................. REPAIR OF HAMMERTOE......... 090 4.59 28485................. TREAT METATARSAL FRACTURE... 090 5.71 29881................. KNEE ARTHROSCOPY/SURGERY.... 090 7.76 30520................. REPAIR OF NASAL SEPTUM...... 090 5.7 31575................. DIAGNOSTIC LARYNGOSCOPY..... 000 1.1 31584................. TREAT LARYNX FRACTURE....... 090 19.64 31600................. INCISION OF WINDPIPE........ 000 3.62 31622................. DX BRONCHOSCOPE/WASH........ 000 2.67 32000................. DRAINAGE OF CHEST........... 000 1.54 32020................. INSERTION OF CHEST TUBE..... 000 3.98 32100................. EXPLORATION/BIOPSY OF CHEST. 090 11.84 32440................. REMOVAL OF LUNG............. 090 21.02 32480................. PARTIAL REMOVAL OF LUNG..... 090 18.32 32500................. PARTIAL REMOVAL OF LUNG..... 090 14.3 32602................. THORACOSCOPY, DIAGNOSTIC.... 000 5.96 33208................. INSERTION OF HEART PACEMAKER 090 8.13 33405................. REPLACEMENT OF AORTIC VALVE. 090 30.61 33426................. REPAIR OF MITRAL VALVE...... 090 31.03 33430................. REPLACEMENT OF MITRAL VALVE. 090 31.43 [[Page 59586]] 33500................. REPAIR HEART VESSEL FISTULA. 090 25.55 33512................. CABG, VEIN, THREE........... 090 29.67 33513................. CABG, VEIN, FOUR............ 090 31.95 33533................. CABG, ARTERIAL, SINGLE...... 090 25.83 33870................. TRANSVERSE AORTIC ARCH GRAFT 090 40.31 34201................. REMOVAL OF ARTERY CLOT...... 090 9.13 35081................. REPAIR DEFECT OF ARTERY..... 090 28.01 35082................. REPAIR ARTERY RUPTURE, AORTA 090 36.35 35091................. REPAIR DEFECT OF ARTERY..... 090 35.4 35207................. REPAIR BLOOD VESSEL LESION.. 090 10.15 35221................. REPAIR BLOOD VESSEL LESION.. 090 16.42 35301................. RECHANNELING OF ARTERY...... 090 18.7 35454................. REPAIR ARTERIAL BLOCKAGE.... 000 6.04 35473................. REPAIR ARTERIAL BLOCKAGE.... 000 6.04 35474................. REPAIR ARTERIAL BLOCKAGE.... 000 7.36 35556................. ARTERY BYPASS GRAFT......... 090 21.76 35646................. ARTERY BYPASS GRAFT......... 090 25.81 35654................. ARTERY BYPASS GRAFT......... 090 18.61 35656................. ARTERY BYPASS GRAFT......... 090 19.53 36140................. ESTABLISH ACCESS TO ARTERY.. XXX 2.01 36200................. PLACE CATHETER IN AORTA..... XXX 3.02 36215................. PLACE CATHETER IN ARTERY.... XXX 4.68 36216................. PLACE CATHETER IN ARTERY.... XXX 5.28 36245................. PLACE CATHETER IN ARTERY.... XXX 4.68 36471................. INJECTION THERAPY OF VEINS.. 010 1.57 36489................. INSERTION OF CATHETER, VEIN. 000 1.22 36533................. INSERTION OF ACCESS DEVICE.. 010 5.32 36620................. INSERTION CATHETER, ARTERY.. 000 1.15 37140................. REVISION OF CIRCULATION..... 090 23.6 38720................. REMOVAL OF LYMPH NODES, NECK 090 13.61 39400................. VISUALIZATION OF CHEST...... 010 5.61 40701................. REPAIR CLEFT LIP/NASAL...... 090 15.85 42200................. RECONSTRUCT CLEFT PALATE.... 090 12 42415................. EXCISE PAROTID GLAND/LESION. 090 16.89 42440................. EXCISE SUBMAXILLARY GLAND... 090 6.97 42809................. REMOVE PHARYNX FOREIGN BODY. 010 1.81 42820................. REMOVE TONSILS AND ADENOIDS. 090 3.91 43235................. UPPR GI ENDOSCOPY, DIAGNOSIS 000 2.39 43239................. UPPER GI ENDOSCOPY, BIOPSY.. 000 2.69 43260................. ENDO CHOLANGIOPANCREATOGRAPH 000 5.96 43268................. ENDO CHOLANGIOPANCREATOGRAPH 000 7.39 43312................. REPAIR ESOPHAGUS AND FISTULA 090 28.42 43331................. REPAIR OF ESOPHAGUS......... 090 16.23 43420................. REPAIR ESOPHAGUS OPENING.... 090 11.57 43610................. EXCISION OF STOMACH LESION.. 090 11.15 43750................. PLACE GASTROSTOMY TUBE...... 010 4.49 44120................. REMOVAL OF SMALL INTESTINE.. 090 14.5 44140................. PARTIAL REMOVAL OF COLON.... 090 18.35 44152................. REMOVAL OF COLON/ILEOSTOMY.. 090 24.41 44160................. REMOVAL OF COLON............ 090 15.88 44950................. APPENDECTOMY................ 090 8.7 45110................. REMOVAL OF RECTUM........... 090 23.8 45300................. PROCTOSIGMOIDOSCOPY......... 000 0.7 45330................. DIAGNOSTIC SIGMOIDOSCOPY.... 000 0.96 45331................. SIGMOIDOSCOPY AND BIOPSY.... 000 1.26 45378................. DIAGNOSTIC COLONOSCOPY...... 000 3.7 45380................. COLONOSCOPY AND BIOPSY...... 000 4.01 45385................. LESION REMOVAL COLONOSCOPY.. 000 5.31 46050................. INCISION OF ANAL ABSCESS.... 010 1.19 46221................. LIGATION OF HEMORRHOID(S)... 010 1.43 46255................. HEMORRHOIDECTOMY............ 090 5.36 46260................. HEMORRHOIDECTOMY............ 090 7.42 46500................. INJECTION INTO HEMORRHOIDS.. 010 1.61 46600................. DIAGNOSTIC ANOSCOPY......... 000 0.5 47000................. NEEDLE BIOPSY OF LIVER...... 000 1.9 47130................. PARTIAL REMOVAL OF LIVER.... 090 34.25 47556................. BILIARY ENDOSCOPY THRU SKIN. 000 8.56 47605................. REMOVAL OF GALLBLADDER...... 090 12.36 [[Page 59587]] 48150................. PARTIAL REMOVAL OF PANCREAS. 090 43.48 49000................. EXPLORATION OF ABDOMEN...... 090 11.68 49505................. REPAIR INGUINAL HERNIA...... 090 6.49 50080................. REMOVAL OF KIDNEY STONE..... 090 14.71 50230................. REMOVAL OF KIDNEY........... 090 22.07 50392................. INSERT KIDNEY DRAIN......... 000 3.38 50393................. INSERT URETERAL TUBE........ 000 4.16 50780................. REIMPLANT URETER IN BLADDER. 090 18.36 51050................. REMOVAL OF BLADDER STONE.... 090 6.92 51596................. REMOVE BLADDER/CREATE POUCH. 090 39.52 51845................. REPAIR BLADDER NECK......... 090 9.73 51860................. REPAIR OF BLADDER WOUND..... 090 12.02 52000................. CYSTOSCOPY.................. 000 2.01 52325................. CYSTOSCOPY, STONE REMOVAL... 000 6.16 52601................. PROSTATECTOMY (TURP)........ 090 12.37 54150................. CIRCUMCISION................ 010 1.81 54520................. REMOVAL OF TESTIS........... 090 5.23 54640................. SUSPENSION OF TESTIS........ 090 6.9 55250................. REMOVAL OF SPERM DUCT(S).... 090 3.29 55530................. REVISE SPERMATIC CORD VEINS. 090 5.66 55700................. BIOPSY OF PROSTATE.......... 000 1.57 55845................. EXTENSIVE PROSTATE SURGERY.. 090 28.55 56340................. LAPROSCOPIC CHOLECYSTECTOMY. 090 11.09 57100................. BIOPSY OF VAGINA............ 000 0.97 57300................. REPAIR RECTUM-VAGINA FISTULA 090 7.61 57520................. CONIZATION OF CERVIX........ 090 4.04 58100................. BIOPSY OF UTERUS LINING.