Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14853 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 403, 405, 410, 411, 412, 

413, 414, 425, 489, 495, and 498 

[CMS–1612–F2] 

RIN 0938–AS12 

Medicare Program; Revisions to 

Payment Policies Under the Physician 

Fee Schedule, Clinical Laboratory Fee 

Schedule, Access to Identifiable Data 

for the Center for Medicare and 

Medicaid Innovation Models & Other 

Revisions to Part B for CY 2015; 

Corrections 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final rule; correcting 

amendment. 

SUMMARY: This document corrects 

technical errors that appeared in the 

final rule with comment period 

published in the November 13, 2014 

Federal Register (79 FR 67547–68092) 

entitled, ‘‘Medicare Program; Revisions 

to Payment Policies under the Physician 

Fee Schedule, Clinical Laboratory Fee 

Schedule, Access to Identifiable Data for 

the Center for Medicare and Medicaid 

Innovation Models & Other Revisions to 

Part B for CY 2015.’’ The effective date 

for the rule was January 1, 2015. 

DATES: Effective date: This correcting 

document is effective March 19, 2015. 

Applicability date: The corrections 

indicated in this document are 

applicable beginning January 1, 2015. 

FOR FURTHER INFORMATION CONTACT: 

Christine Estella, (410) 786–0485, for 

issues related to the physician quality 

reporting system. Donta Henson, (410) 

786–1947 for all other issues. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2014–26183 (79 FR 67547 

through 68092) the final rule entitled, 

‘‘Medicare Program; Revisions to 

Payment Policies under the Physician 

Fee Schedule, Clinical Laboratory Fee 

Schedule, Access to Identifiable Data for 

the Center for Medicare and Medicaid 

Innovation Models & Other Revisions to 

Part B for CY 2015’’ (hereinafter referred 

to as the CY 2015 PFS final rule with 

comment period), there were a number 

of technical errors that are identified 

and corrected in section IV., Correction 

of Errors. These corrections are 

applicable as of January 1, 2015. We 

note that the Addenda B and C to the 

CY 2015 PFS final rule with comment 

period as corrected by this correction 

document are available on the CMS Web 

site at www.cms.gov/

PhysicianFeeSched/. 

II. Summary of Errors 

A. Summary of Errors in the Preamble 

On page 67559, due to errors made in 

ratesetting, many of the values 

contained in Table 4: Calculation of PE 

RVUs Under Methodology for Selected 

Codes, are incorrect. 

On page 67562, in Table 8: Codes 

Affected by Removal of Film Inputs, we 

inadvertently included CPT codes 

93320, 93321, and 93325. 

On page 67591, we incorrectly stated 

that in section II. G. of the rule, we 

address the interim final values and 

establish CY 2015 inputs for the lower 

gastrointestinal procedures. 

On page 67612, in Table 14: Codes 

Reviewed by the 2014 Multi-Specialty 

Refinement Panel, the work RVUs for 

CPT codes 43204, 43205, and 43233 are 

incorrect. 

On page 67633, due to a typographical 

error we referred to CPT code 41391 

rather than CPT code 43391. 

On page 67636, due to a technical 

error, the final work RVU for code 

43278 is incorrect. 

On pages 67651 through 67663, in 

Table 25: CY 2015 Interim Final Work 

RVUS For New/Revised or Potentially 

Misvalued Codes, the RUC/HCPAC 

recommended work RVUs listed on 

page 67658 for CPT codes 76932 and 

76948 are incorrect and entries for CPT 

codes 76940 and 76965 were 

inadvertently omitted from the table. 

On page 67660, the RUC/HCPAC 

recommended work RVU listed for CPT 

code 92545 is incorrect. 

On page 67668, 

a. We inadvertently omitted G0279 

from the list of codes in the title of (13). 

b. Due to a typographical error, G0279 

is referred to as G–2079. 

c. We inadvertently omitted the 

phrase ‘‘, whether or not a 2–D 

mammography is furnished’’ from the 

sentence beginning, ‘‘In addition, we are 

creating . . .’’ 

On page 67669, we inadvertently 

listed CPT code 93644 in the title of 

(18). 

On page 67671, in Table 28: CY 2015 

Interim Final Codes with Direct PE 

Input Recommendations Accepted 

without Refinement, we inadvertently 

listed CPT code 31620. 

On page 67673, in Table 29: Invoices 

Received for New Direct PE Inputs we 

inadvertently listed entries associated 

with CPT code 31620. 

On page 67674, in Table 30: Invoices 

Received For Existing Direct PE Inputs, 

certain PE direct inputs for CPT code 

31627 were inadvertently omitted. 

On pages 67678 through 67711, in 

Table 31: CY 2015 Interim Final Codes 

With Direct PE Input Recommendations 

Accepted with Refinements, due to 

technical errors, on page 67678, entries 

associated with CPT codes 77061 and 

77062 were inadvertently listed; on page 

67702, entries associated with CPT 

codes 93320, 93321, and 93325 were 

inadvertently omitted and an input code 

for CPT code 93880 was inadvertently 

omitted. 

On page 67726, we incorrectly stated 

that practitioners do not have to use any 

‘‘specific content exchange standard.’’ 

On pages 67741 through 67742, we 

incorrectly stated the CY 2015 PFS 

conversion factors. 

On page 67742, in Table 45: 

Calculation of the CY 2015 PFS CF, due 

to corrections being made in this 

document, the CY 2014 budget 

neutrality adjustment, the CY 2015 CFs, 

and the percentage changes from the CY 

2014 CF stated in the table are incorrect. 

On page 67743, due to technical 

errors, the budget neutrality factor, the 

anesthesia CF in effect from January 1, 

2015 through March 31, 2015, and the 

anesthesia CF in effect from April 1, 

2015 through December 31, 2015 are 

incorrectly stated. The entries in Table 

46: Calculation of the CY 2015 

Anesthesia CF for budget neutrality 

adjustments, CFs and percentage change 

are inaccurate. 

On pages 67803 and 67804, in Table 

52: Individual Quality Cross-Cutting 

Measures for the PQRS to Be Available 

for Satisfactory Reporting Via Claims, 

Registry, and EHR Beginning in 2015, 

we inadvertently listed the incorrect 

National Quality Strategy (NQS) domain 

for Physician Quality Reporting System 

(PQRS) Measure 131, Pain Assessment 

and Follow-Up. 

On pages 67848 and 67849, in Table 

55: Measures Being Removed from the 

Existing PQRS Measure Set Beginning 

in 2015, we inadvertently omitted 

adding an ‘‘X’’ to the claims reporting 

option for Physician Quality Reporting 

System (PQRS) Measure 0091/051: 

Chronic Obstructive Pulmonary Disease 

(COPD): Spirometry Evaluation, 

Measure 0102/052: Chronic Obstructive 

Pulmonary Disease (COPD): Inhaled 

Bronchodilator Therapy, and Measure 

0050/109: Osteoarthritis (OA) Function 

and Pain Assessment. 

On page 67854, in Table 56: Existing 

Individual Quality Measures and Those 

Included in Measures Groups for the 

PQRS for Which Measure Reporting 

Updates Will Be Effective Beginning in 

2015, we inadvertently added an ‘‘X’’ to 

the Group Practice Reporting Option 

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14854 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

(GPRO) Web Interface reporting option 

for Physician Quality Reporting System 

(PQRS) Measure 0067/006: Coronary 

Artery Disease (CAD): Antiplatelet 

Therapy. 

On page 67877, in Table 56: Existing 

Individual Quality Measures and Those 

Included in Measures Groups for the 

PQRS for Which Measure Reporting 

Updates Will Be Effective Beginning in 

2015, we inadvertently added an ‘‘X’’ to 

the claims reporting option and omitted 

adding an ‘‘X’’ to the registry reporting 

option for Physician Quality Reporting 

System (PQRS) Measure 0409/205: HIV/ 

AIDS: Sexually Transmitted Disease 

Screening for Chlamydia, Gonorrhea, 

and Syphilis. 

On page 67988, in Table 93: CY 2015 

PFS Final Rule with Comment Period 

Estimated Impact Table: Impacts of 

Work, Practice Expense, and 

Malpractice RVUs, due to ratesetting 

errors, the values are inaccurate. 

On page 67991 through 67992, in 

Table 94: Impact of the Final Rule with 

Comment Period on CY 2014 Payment 

for Selected Procedures, due to 

ratesetting errors, the stated payment 

rates are inaccurate. 

On page 67999, the January 1–March 

31, 2015 CF, the CY 2015 national 

payment amount in the nonfacility 

setting for CPT code 99203, and the 

beneficiary coinsurance amount are 

incorrect. 

B. Summary and Correction of Errors in 

the Addenda on the CMS Web Site 

Due to the errors identified and 

summarized in section II.A and B of this 

correction document, we are correcting 

errors in the work, PE or MP RVUs (or 

combinations of these RVUs) in 

Addendum B: CY 2015 Relative Value 

Units (RVUs) And Related Information 

Used In Determining Final Medicare 

Payments and Addendum C: CY 2015 

Interim Final Relative Value Units 

(RVUs). We note that corrections to the 

RVUs for codes with identified errors 

affect additional codes due to the budget 

neutrality and relativity of the PFS. 

These errors are corrected in the revised 

Addenda B and C available on the CMS 

Web site at www.cms.gov//

PhysicianFeeSched/. 

In addition to the errors identified in 

section II.A. of this correction 

document, the following errors occur in 

the addenda. 

Due to a technical error in the 

creation of the direct PE database, 

nonfacility PE RVUs were created and 

displayed in Addendum B (and 

Addendum C, if applicable) for the 

following CPT codes: 21811, 21812, 

21813, 22858, 33418, 33951, 33952, 

33953, 33954, 33955, 33956, 33957, 

33958, 33959, 33962, 33963, 33964, 

33965, 33966, 33969, 33984, 33985, 

33986, 33987, 33988, 33989, 37218, 

43180, 44380, 44382, 66179, and 66184. 

These errors are corrected in the revised 

Direct PE Input Database available on 

the CMS Web site at www.cms.gov//

PhysicianFeeSched/. Resulting changes 

to the PE RVUs are reflected in the 

corrected Addendum B (and Addendum 

C, if applicable) available on the CMS 

Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to technical errors in the creation 

of the direct PE database, some or all of 

the PE inputs were inadvertently 

omitted for CPT codes 22510, 22511, 

22512, 22513, 22514, 22515, 31620, 

33951, 33952, 33953, 33954, 33955, 

33956, 33957, 33958, 33959, 33962, 

33963, 33964, 33969, 33984, 33985, 

33986, 33988, 33989, 58541, 58542, 

58543, 58544, 58570, 58571, 58572, 

64486, 64487, 64488, 64489, 70496, 

70498, 76700, 76705, 77080, 88348, 

93260, 93261, and 93644. These errors 

are corrected in the revised Direct PE 

Input Database available on the CMS 

Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to technical errors in the creation 

of the direct PE database, the incorrect 

inputs were used for creating PE RVUs 

for CPT codes 20982, 31620, 31627, 

32998, 33262, 32998, 41530, 50592, 

64600, 64605, 64610, 64633, 64634, 

64635, 64636, 93925, 93880, and 93990. 

These errors are corrected in the revised 

Direct PE Input Database available on 

the CMS Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to a technical error, we 

incorrectly displayed in Addenda B and 

C PE RVUs in a nonfacility setting for 

CPT codes 33270, 33271, 33272, and 

33273. The PE RVUs for these codes in 

a non-facility setting have been removed 

in the corrected Addenda B and C 

available on the CMS Web site at 

www.cms.gov//PhysicianFeeSched/. 

Due to a technical error, HCPCS codes 

33330, 33474, 61610, and 61870 were 

inadvertently left out of Addendum B. 

These codes are reflected in the 

corrected Addendum B available on the 

CMS Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to a technical error, the average 

risk factor, and not the specialty risk 

factor that we indicated that we were 

using in the preamble, was applied 

when calculating the MP RVUs for CPT 

codes 33620 and 33622. As a result, the 

MP RVUs listed in Addendum B are 

incorrect for these codes. We have 

corrected these errors in the corrected 

Addendum B available on the CMS Web 

site at www.cms.gov//

PhysicianFeeSched/. 

Due to a technical error, the incorrect 

work RVUs were applied in calculating 

the MP RVUs for CPT codes 33418 and 

33419. As a result, the MP RVUs listed 

in Addenda B and C are incorrect for 

these codes. We have corrected these 

errors in the corrected Addenda B and 

C available on the CMS Web site at 

www.cms.gov//PhysicianFeeSched/. 

Due to a technical error, the incorrect 

CY 2015 work RVUs are included in 

Addendum B (and Addendum C, if 

applicable) for the following codes: 

43191, 43192, 43193, 43194, 43195, 

43196, 43197, 43198, 43200, 43201, 

43202, 43204, 43205, 43211, 43212, 

43214, 43215, 43229, 43232, 43233, 

43235, 43236, 43238, 43239, 43242, 

43247, 43253, 43254, 43257, 43266, 

43270, 43274, 43276, 43278, 58541, 

58542, 58543, 58544, 58570, 58571, 

58572, 58573, 71275, 76930, 76932, 

76948, 92545, 93315, 93317, 93318, and 

95973. The correct CY 2015 work RVUS 

for these codes are reflected in the 

corrected Addenda B and C available on 

the CMS Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to a technical error in the 

creation of the direct PE database, PE 

RVUs for the facility setting were 

created and are displayed in Addendum 

B for HCPCS code 77372 and Addenda 

B and C for HCPCS code G0277. These 

technical errors are corrected in 

Addenda B and C available on the CMS 

Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to technical errors in the creation 

of the direct PE database, direct PE 

inputs were inadvertently included for 

CPT code 99183 and are reflected in the 

PE RVUs shown in Addenda B and C. 

This error is corrected in the Direct PE 

Input Database available on the CMS 

Web site at www.cms.gov//

PhysicianFeeSched/. The corrected PE 

RVUS are included in Addenda B and 

C available on the CMS Web site at 

www.cms.gov//PhysicianFeeSched/. 

Due to a technical error, in 

Addendum B, work and MP RVUs for 

CPT codes 99487 and 99489 were 

inadvertently included. The work and 

MP RVUs for these codes have been 

removed in the corrected Addendum B 

available on the CMS Web site at 

www.cms.gov//PhysicianFeeSched/. 

Due to a technical error in the 

creation of the direct PE database, PE 

RVUs were not created for CPT code 

99490 in the facility setting. The correct 

PE RVU for this code is reflected in the 

corrected Addendum B available on the 

CMS Web site at www.cms.gov//

PhysicianFeeSched/. 

Due to a technical error, HCPCS codes 

G9407 through G9472 are inadvertently 

included in Addendum B. These codes 

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Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14855 

have been removed in the corrected 

Addendum B available on the CMS Web 

site at www.cms.gov//

PhysicianFeeSched/. 

C. Summary of Errors in the Regulations 

Text 

On page 68002 of the CY 2015 PFS 

final rule with comment period, we 

made a technical error in § 410.26(b)(5). 

In this paragraph, we inadvertently 

omitted language to limit the 

applicability of the exception that 

allows general, rather than direct, 

supervision of transitional care 

management services furnished incident 

to a practitioner’s professional services 

to the non-face-to-face aspects of the 

service. 

III. Waiver of Proposed Rulemaking 

and Delay in Effective Date 

Under 5 U.S.C. 553(b) of the 

Administrative Procedure Act (APA), 

the agency is required to publish a 

notice of the proposed rule in the 

Federal Register before the provisions 

of a rule take effect. Similarly, section 

1871(b)(1) of the Act requires the 

Secretary to provide for notice of the 

proposed rule in the Federal Register 

and provide a period of not less than 60 

days for public comment. In addition, 

section 553(d) of the APA, and section 

1871(e)(1)(B)(i) of the Act mandate a 30- 

day delay in effective date after issuance 

or publication of a rule. Sections 

553(b)(B) and 553(d)(3) of the APA 

provide for exceptions from the notice 

and comment and delay in effective date 

APA requirements; in cases in which 

these exceptions apply, sections 

1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the 

Act provide exceptions from the notice 

and 60-day comment period and delay 

in effective date requirements of the Act 

as well. Section 553(b)(B) of the APA 

and section 1871(b)(2)(C) of the Act 

authorize an agency to dispense with 

normal rulemaking requirements for 

good cause if the agency makes a 

finding that the notice and comment 

process are impracticable, unnecessary, 

or contrary to the public interest. In 

addition, both section 553(d)(3) of the 

APA and section 1871(e)(1)(B)(ii) of the 

Act allow the agency to avoid the 30- 

day delay in effective date where such 

delay is contrary to the public interest 

and an agency includes a statement of 

support. 

In our view, this correction document 

does not constitute a rulemaking that 

would be subject to these requirements. 

This correction document corrects 

technical errors in the CY 2015 PFS 

final rule with comment period and the 

corresponding addenda posted on the 

CMS Web site. The corrections 

contained in this document are 

consistent with, and do not make 

substantive changes to, the policies and 

payment methodologies that were 

adopted subjected to notice and 

comment procedures in the CY 2015 

PFS final rule with comment period. As 

a result, the corrections made through 

this correction document are intended 

to ensure that the CY 2015 PFS final 

rule with comment period accurately 

reflects the policies adopted in that rule. 

Even if this were a rulemaking to 

which the notice and comment and 

delayed effective date requirements 

applied, we find that there is good cause 

to waive such requirements. 

Undertaking further notice and 

comment procedures to incorporate the 

corrections in this document into the 

CY 2015 PFS final rule with comment 

period or delaying the effective date of 

the corrections would be contrary to the 

public interest because it is in the 

public interest to ensure that the CY 

2015 PFS final rule with comment 

period accurately reflects our final 

policies as soon as possible following 

the date they take effect. Further, such 

procedures would be unnecessary, 

because we are not altering the payment 

methodologies or policies, but rather, 

we are simply correcting the Federal 

Register document to reflect the policies 

that we previously proposed, received 

comment on, and subsequently 

finalized. This correcting document is 

intended solely to ensure that the CY 

2015 PFS final rule with comment 

period accurately reflects these policies. 

For these reasons, we believe there is 

good cause to waive the requirements 

for notice and comment and delay in 

effective date. 

IV. Correction of Errors 

In FR Doc. 2014–26183 of November 

13, 2014 (79 FR 67547), make the 

following corrections: 

A. Correction of Errors in the Preamble 

1. On page 67559, in Table 4: 

Calculation of PE RVUs Under 

Methodology for Selected Codes, the 

table is corrected to read as follows: 

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14856 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

TABLE 4—CALCULATION OF PR RVU

S

UNDER

METHODOLOGY FOR

SELECTED

CODES

Factor (CF) (2nd part) Step Source Formula 

99213 Office visit, est 

non-facility 

33533 

CABG, arterial, single 

facility 

71020 

Chest x-ray 

non-facility 

71020–TC 

Chest x-ray, 

non-facility 

71020–26 

Chest x-ray, 

non-facility 

93000 ECG, 

complete, 

non-facility 

93005 ECG, 

tracing, nonfacility 

93010 ECG, 

report nonfacility 

(1) Labor cost (Lab) ........................ Step 1 ................. AMA .................... .............................. 13.32 77.52 5.74 5.74 0 5.1 5.1 0 (2) Supply cost (Sup) ...................... Step 1 ................. AMA .................... .............................. 2.98 7.34 0.53 0.53 0 1.19 1.19 0 (3) Equipment cost (Eqp) ................ Step 1 ................. AMA .................... .............................. 0.17 0.58 6.92 6.92 0 0.09 0.09 0 (4) Direct cost (Dir) ......................... Step 1 ................. ............................. ’%=(1)+(2)+(3) 16.48 85.45 13.19 13.19 0 6.38 6.38 0 (5) Direct adjustment (Dir. Adj.) ...... Steps 2–4 ........... See footnote * ..... .............................. 0.5953 0.5953 0.5953 0.5953 0.5953 0.5953 0.5953 0.5953 (6) Adjusted Labor .......................... Steps 2–4 ........... ’%=Labor * Dir 

Adj.

’%=(1) * (5) 7.93 46.15 3.42 3.42 0 3.04 3.04 0 

(7) Adjusted Supplies ...................... Steps 2–4 ........... ’%=Eqp * Dir Adj ’%=(2) * (5) 1.78 4.37 0.32 0.32 0 0.71 0.71 0 (8) Adjusted Equipment .................. Steps 2–4 ........... ’%=Sup * Dir Adj ’%=(3) * (5) 0.1 0.35 4.12 4.12 0 0.05 0.05 0 (9) Adjusted Direct .......................... Steps 2–4 ........... ............................. ’%=(6)+(7)+(8) 9.81 50.87 7.85 7.85 0 3.8 3.8 0 (10) Conversion Factor (CF) ........... Step 5 ................. PFS .................... .............................. 35.8228 35.8228 35.8228 35.8228 35.8228 35.8228 35.8228 35.8228 (11) Adj. labor cost converted ......... Step 5 ................. ’%=(Lab * Dir 

Adj)/CF.

’%=(6)/(10) 0.22 1.29 0.1 0.1 0 0.08 0.08 0 

(12) Adj. supply cost converted ...... Step 5 ................. ’%=(Sup * Dir 

Adj)/CF.

’%=(7)/(10) 0.05 0.12 0.01 0.01 0 0.02 0.02 0 

(13) Adj. equipment cost converted Step 5 ................. ’%=(Eqp * Dir 

Adj)/CF.

’%=(8)/(10) 0 0.01 0.11 0.11 0 0 0 0 

(14) Adj. direct cost converted ........ Step 5 ................. ............................. ’%=(11)+(12)+(13) 0.27 1.42 0.22 0.22 0 0.11 0.11 0 (15) Work RVU ................................ Setup File ........... PFS .................... .............................. 0.97 33.75 0.22 0 0.22 0.17 0 0.17 (16) Dir_pct ...................................... Steps 6,7 ............ Surveys .............. .............................. 0.25 0.17 0.29 0.29 0.29 0.29 0.29 0.29 (17) Ind_pct ..................................... Steps 6,7 ............ Surveys .............. .............................. 0.75 0.83 0.71 0.71 0.71 0.71 0.71 0.71 (18) Ind. Alloc. Formula (1st part) ... Step 8 ................. See Step 8 ......... .............................. (14)/

(16) * (17) 

(14)/

(16) * (17) 

(14)/

(16) * (17) 

(14)/

(16) * (17) 

(14)/

(16) * (17) 

(14)/

(16) * (17) 

(14)/

(16) * (17) 

(14)/

(16) * (17) 

(19) Ind. Alloc. (1st part) ................. Step 8 ................. ............................. See 18 0.83 6.73 0.53 0.53 0 0.26 0.26 0 (20) Ind. Alloc. Formula (2nd part) .. Step 8 ................. See Step 8 ......... .............................. ¥15% ¥15% %(15+11) ¥11% ¥15% %(15+11) ¥11% ¥15% (21) Ind. Alloc. (2nd part) ................ Step 8 ................. ............................. See 20 0.97 33.75 0.32 0.1 0.22 0.25 0.08 0.17 (22) Indirect Allocator (1st + 2nd) ... Step 8 ................. ............................. ’%=(19)+(21) 1.8 40.48 0.85 0.63 0.22 0.52 0.35 0.17 (23) Indirect Adjustment (Ind. Adj.) Steps 9–11 ......... See Footnote * * .. .............................. 0.3829 0.3829 0.3829 0.3829 0.3829 0.3829 0.3829 0.3829 (24) Adjusted Indirect Allocator ....... Steps 9–11 ......... ’%=Ind Alloc * Ind 

Adj.

.............................. 0.69 15.5 0.33 0.24 0.08 0.2 0.13 0.07 

(25) Ind. Practice Cost Index (IPCI) Steps 12–16 ....... ............................. .............................. 1.07 0.75 0.99 0.99 0.99 0.91 0.91 0.91 (26) Adjusted Indirect ...................... Step 17 ............... ’%= Adj.Ind 

Alloc * PCI.

’%=(24) * (25) 0.74 11.64 0.32 0.24 0.08 0.18 0.12 0.06 

(27) Final PE RVU .......................... Step 18 ............... ’%=(Adj Dir + Adj 

Ind) * Other Adj.

’%=((14)+(26)) * 

Other Adj) 

1.01 12.99 0.54 0.46 0.08 0.29 0.23 0.06 

Note: PE RVUs in Table 4, row 27, may not match Addendum B due to rounding. * The direct adj = [current pe rvus * CF * avg dir pct]/[sum direct inputs] = [step2]/[step3] * * The indirect adj = [current pe rvus * avg ind pct]/[sum of ind allocators] = [step9]/[step10] Note: The use of any particular conversion factor (CF) in Table 4 to illustrate the PE Calculation has no effect on the resulting RVUs. 

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Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14857 

2. On page 67562, in Table 8: Codes 

Affected by Removal of Film Inputs, the 

following listed entries are removed. 

HCPCS Short descriptor 

93320 ........ Doppler echo exam heart 

93321 ........ Doppler echo exam heart 

93325 ........ Doppler color flow add-on 

3. On page 67591, third column, first 

full paragraph, line 10, the sentence ‘‘In 

section II.G. of this CY 2015 PFS final 

rule with comment period, we address 

interim final values and establish CY 

2015 inputs for the lower 

gastrointestinal procedures, many of 

which are also listed in Appendix G.’’ 

is corrected to read ‘‘In section II.G. of 

this CY 2015 PFS final rule with 

comment period, we note that we are 

delaying the adoption of the new code 

set for lower gastrointestinal procedures 

until CY 2016; many of these codes are 

also listed in Appendix G.’’ 

4. On page 67612, in Table 14: Codes 

reviewed by the 2014 Multi-Specialty 

Refinement Panel, the entries for CPT 

codes 43204, 43205 and 43233 are 

corrected to read as follows: 

HCPCS 

code Descriptor 

CY 2014 

interim final 

work RVU 

RUC 

recommended 

work RVU 

Refinement 

panel 

median rating 

CY 2015 work 

RVU 

43204 ........ Injection of dilated esophageal veins using an endoscope.2.40 2.89 2.77 2.43 

43205 ........ Tying of esophageal veins using an endoscope ............. 2.51 3.00 2.88 2.54 

43233 ........ Balloon dilation of esophagus, stomach, and/or upper 

small bowel using an endoscope.

4.05 4.45 4.26 4.17 

5. On page 67633, third column, first 

full paragraph, line 14, the phrase ‘‘CPT 

code 41391,’’ is corrected to read ‘‘CPT 

code 43391,’’. 

6. On page 67636, third column, first 

partial paragraph, lines 24 through 25, 

the sentence ‘‘The final work RVU for 

CPT code 43278 is 8.’’ is corrected to 

read ‘‘The final work RVU for CPT code 

43278 is 8.02.’’ 

7. On pages 67651 through 67663, in 

Table 25: CY 2015 Interim Final Work 

RVUS For New/Revised or Potentially 

Misvalued Codes, the listed entries on 

page 67658 are corrected to read: 

HCPCS 

code Long descriptor CY 2014 WRVU 

RUC/HCPAC 

recommended 

work RVU 

CY 2015 work 

RVU 

CMS time 

refinement 

76932 ........ Ultrasonic guidance for endomyocardial biopsy, imaging 

supervision and interpretation.

C 0.67 0.67 No 

76940 ........ Ultrasound guidance for, and monitoring of, parenchymal tissue ablation.2.00 2.00 2.00 No 

76948 ........ Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation.0.38 0.38 0.38 No 

76965 ........ Ultrasonic guidance for interstitial radioelement application.1.34 1.34 1.34 No 

8. On page 67660, in Table 25: CY 

2015 Interim Final Work RVUS For 

New/Revised or Potentially Misvalued 

Codes, the listed entry is corrected to 

read: 

HCPCS 

code Long descriptor CY 2014 WRVU 

RUC/HCPAC 

recommended 

work RVU 

CY 2015 work 

RVU 

CMS time 

refinement 

92545 ........ Oscillating tracking test, with recording ........................... 0.23 0.25 0.25 No 

9. On page 67668, 

a. First column, line 1, the title ‘‘(13) 

Breast Tomosynthesis (CPT codes 

77061, 77062, and 77063)’’ is corrected 

to read ‘‘(13) Breast Tomosynthesis (CPT 

codes 77061, 77062, 77063 and 

G2079)’’. 

b. Second column, line 19, the phrase 

‘‘a new code, G–2079’’ is corrected to 

read ‘‘a new code, G0279’’. 

c. Second column, line 27, is 

corrected by adding ‘‘whether or not a 

2-D mammography is furnished’’ after 

the phrase ‘‘diagnostic breast 

tomosynthesis’’. 

10. On page 67669, second column, 

lines 8 through 11, we are correcting the 

title ‘‘(18) Interventional 

Transesophageal Echocardiography 

(TEE) (CPT Codes 93312, 93313, 93314, 

93315, 93316, 93317, 93318, 93355, and 

93644)’’ to read ‘‘(18) Interventional 

Transesophageal Echocardiography 

(TEE) (CPT Codes 93312, 93313, 93314, 

93315, 93316, 93317, 93318, and 

93355).’’ 

11. On page 67671, in Table 28: CY 

2015 Interim Final Codes with Direct PE 

Input Recommendations Accepted 

without Refinements, the following 

listed entry is removed: 

HCPCS Short descriptor 

31620 ........ Endobronchial us add-on 

12. On page 67673, in Table 29: 

Invoices Received for New Direct PE 

Inputs, the following listed entries for 

CPT code 31620 are removed: 

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14858 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

CPT/HCPCS codes Item name CMS code Average price Number of 

invoices 

Non-facility allowed services 

for HCPCS codes using this 

item (or projected services for 

new CPT codes*) 

31620 ........................ Flexible dual-channeled EBUS bronchoscope, with radial probe.EQ361 $160,260.06 ..... 6 107 

31620 ........................ Video system, Ultrasound (processor, 

digital capture, monitor, printer, cart).

ER099 $13,379.57 ....... 6 107 

31620 ........................ EBUS, single use aspiration needle, 21 

g.

SC102 $145.82 ............ 5 107 

31620 ........................ Balloon for Bronchosopy Fiberscope .... SD294 $28.68 .............. 4 107 

13. On page 67674, Table 30: Invoices 

Received for Existing Direct PE Inputs, 

the list entries for CPT code 31627 are 

corrected by adding the following: 

CPT/HCPCS 

codes Item name CMS code Current price Updated price % Change 

Number 

of 

invoices 

Non-facility allowed services 

for HCPCS 

codes using this 

item 

31627 .............. sensor, patch, 

bronchosopy 

(for kit, 

locatable 

guide) (patient).

SD235 $1.10 ............................ $3.00 ............................ 173 2 37 

31627 .............. system, navigational 

bronchoscopy 

(superDimension).

EQ326 $137,800.00 ................. $189,327.66 ................. 37 4 37 

31627 .............. kit, locatable 

guide, ext. 

working 

channel, wb-scope 

adapter.

SA097 $995.00 ........................ $1,063.67 ..................... 7 3 37 

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Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14859 

14. On pages 67678 through 67711, in 

Table 31: CY 2015 Interim Final Codes 

With Direct PE Input Recommendations 

Accepted with Refinements, we are 

correcting the table by 

a. On page 67687, deleting the 

following listed entries: 


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RUC CMS 

HCPCS Labor Recomme Refine Direct HCPCS Code Input Input Code NF/F Activity nd-ation -ment Comment 

Costs Code Description Code Description /PO (where or current (min Change applicable) value (min or 

or qty) qty) 

Breast L043 Mammography NF Availability 3 2 Standard $-0.43 

tomosynthes A Technologist of prior times for 

lSUlll images clinical 

confirmed labor 

77061 tasks 

associated 

with 

digital 

imaging 

Breast L043 Mammography NF Availability 3 2 Standard $-0.43 

tomosynthes A Technologist of prior times for 

is bi images clinical 

confirmed labor 

77062 tasks 

associated 

with 

digital 

imaging 
14860 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

b. On page 67702, correcting the 

bottom half of the table to read: 


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Labor RUC CMS 

Activity Recom- Refine 

HCPCS mendation -ment Direct HCPCS Code Input Input Code NF/F/ (where or current (min Comment Costs Code Code Description PO applicable Description ) value (min or Change 

or qty) qty) 

Doppler ED021 computer, NF 5 0 Duplicative; $-0.05 

echo exam desktop, w- item is in 

93320 heart monitor vascular 

ultrasound 

room 

(EL016) 

Doppler ED036 video printer, NF 14 0 $-0.15 

93320 echo exam color (Sony 

heart medical 

grade) 

Doppler ED021 computer, NF 2 0 Duplicative; $-0.02 

echo exam desktop, w- item is in 

93321 heart monitor vascular 

ultrasound 

room 

(EL016) 

Doppler ED036 video printer, NF 8 0 $-0.09 

93321 echo exam color (Sony 

heart medical 

grade) 

Doppler ED021 computer, NF 2 0 Duplicative; $-0.02 

color flow desktop, w- item is in 

93325 add-on monitor vascular 

ultrasound 

room 

(EL016) 

Doppler ED036 video printer, NF 9 0 $-0.10 

93325 color flow color (Sony 

add-on medical 

grade) 

Bis xtracell L037D RN/LPN/MT NF Results are 2 0 Included as $-0.74 

fluid A uploaded an automatic 

analysis from the process for 

device into the new 

the analysis device. 

software 

93702 and a 

report is 

generated 

and printed 

for 

physician 

review. 

Extracrania1 ED021 computer, NF 7 0 $-0.07 

93880 bilat study desktop, wmonitor 

Extracranial ED036 video printer, NF 10 0 Duplicative; $-0.11 

bilat study color (Sony item is in 

93880 medical vascular 

grade) ultrasound 

room 

(EL016) 
Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14861 

15. On page 67726, first column, 

second full paragraph, lines 6 through 8, 

the phrase ‘‘with a clarification that 

practitioners do not have to use any 

specific content exchange standard in 

CY 2015.’’ is corrected to read ‘‘with a 

clarification that practitioners do not 

have to use any specific exchange or 

transfer standard in CY 2015.’’ 

16. On page 67741, first column, first 

paragraph, we are correcting the entire 

paragraph to read: 

The CY 2015 PFS CF for January 1, 

2015 through March 31, 2015 is 

$35.7547. The CY 2015 PFS CF for April 

1, 2015 through December 31, 2015 is 

$28.1872. The CY 2015 national average 

anesthesia CF for January 1, 2015 

through March 31, 2015 is $22.4968. 

The CY 2015 national average 

anesthesia CF for April 1, 2015 through 

December 31, 2015 is $17.7454. 

17. On page 67742, third column, first 

partial paragraph, 

a. Line 3, the phrase ‘‘by 0.06 

percent’’ is corrected to read ‘‘by 0.19 

percent’’. 

b. Third column, first full paragraph, 

line 8, the figure ‘‘$35.8013.’’ is 

corrected to read ‘‘$35.7547.’’ 

c. Third column, second full 

paragraph, line 6, the figure ‘‘$28.2239.’’ 

is corrected to read ‘‘$28.1872.’’ 

d. Third column, second full 

paragraph, line 9, the phrase ‘‘21.2 

percent’’ is corrected to read ‘‘21.3 

percent’’. 

18. On page 67742, in Table 45: 

Calculation of the CY 2015 PFS CF, the 

table is corrected to read as follows: 

TABLE 45—CALCULATION OF THE CY 2015 PFS CF 

January 1, 2015 through March 31, 2015 

Conversion Factor in effect in CY 2014 ....................................................................... ................................................................... $35.8228 

Update .......................................................................................................................... 0.0 percent (1.00) ..................................... ........................

CY 2015 RVU Budget Neutrality Adjustment ............................................................... ¥0.19 percent (0.9981) ........................... ........................

CY 2015 Conversion Factor (1/1/2015 through 3/31/2015) ......................................... ................................................................... $35.7547 

April 1, 2015 through December 31, 2015 

Conversion Factor in effect in CY 2014 ....................................................................... ................................................................... $35.8228 


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14862 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

TABLE 45—CALCULATION OF THE CY 2015 PFS CF—Continued 

CY 2014 Conversion Factor had statutory increases not applied ............................... ................................................................... $27.2006 

CY 2015 Medicare Economic Index ............................................................................. 0.8 percent (1.008) ................................... ........................

CY 2015 Update Adjustment Factor ............................................................................ 3.0 percent (1.03) ..................................... ........................

CY 2015 RVU Budget Neutrality Adjustment ............................................................... ¥0.19 percent (0.9981) ........................... ........................

CY 2015 Conversion Factor (4/1/2015 through 12/31/2015) ....................................... ................................................................... $28.1872 

Percent Change in Conversion Factor on 4/1/2015 (relative to the CY 2014 CF) ..... ................................................................... ¥21.3% 

Percent Change in Update (without budget neutrality adjustment) on 4/1/2015 (relative to the CY 2014 CF).................................................................... ¥21.2% 

19. On page 67743, 

a. First column, first full paragraph, 

line 5, the sentence ‘‘After applying the 

0.9994 budget’’ is corrected to read 

‘‘After applying the 0.9981 budget’’. 

b. Second column, line 2, the figure 

‘‘$22.5550.’’ is corrected to read 

‘‘$22.4968.’’ 

c. Third column, line 12, the figure 

‘‘$17.7913.’’ is corrected to read 

‘‘$17.7454.’’ 

d. Table 46: Calculation of the CY 

2015 Anesthesia CF is corrected to read 

as follows: 

TABLE 46—CALCULATION OF THE CY 2015 ANESTHESIA CF 

January 1, 2015 through March 31, 2015 

CY 2014 National Average Anesthesia CF .................................................................. ................................................................... $22.6765 

Update .......................................................................................................................... 0.0 percent (1.00) ..................................... ........................

CY 2015 RVU Budget Neutrality Adjustment ............................................................... ¥0.19 percent (0.9981) ........................... ........................

CY 2015 Anesthesia Fee Schedule Practice Expense Adjustment ............................ ¥0.00494 percent (0.99506) ................... ........................

CY 2015 National Average Anesthesia CF (1/1/2015 through 3/31/2015) ................. ................................................................... $22.4968 

April 1, 2015 through December 31, 2015 

2014 National Average Anesthesia Conversion Factor in effect in CY 2015 .............. ................................................................... $22.6765 

2014 National Anesthesia Conversion Factor had Statutory Increases Not Applied .. ................................................................... $17.2283 

CY 2015 Medicare Economic Index ............................................................................. 0.8 percent (1.008) ................................... ........................

CY 2015 Update Adjustment Factor ............................................................................ 3.0 percent (1.03) ..................................... ........................

CY 2015 Budget Neutrality Work and Malpractice Adjustment ................................... ¥0.19 percent (0.9981) ........................... ........................

CY 2015 Anesthesia Fee Schedule Practice Expense Adjustment ............................ ¥0.00494 percent (0.99506) ................... ........................

CY 2015 Anesthesia Fee Schedule Practice Expense Adjustment ............................ ¥0.00494 percent (0.99506) ................... ........................

CY 2015 Anesthesia Conversion Factor (4/1/2015 through 12/31/2015) .................... ................................................................... $17.7454 

Percent Change from 2014 to 2015 (4/1/2015 through 12/31/2015) .......................... ................................................................... ¥21.7% 

20. On page 67803, last row, in Table 

52: Individual Quality Cross-Cutting 

Measures for the PQRS to Be Available 

for Satisfactory Reporting Via Claims, 

Registry, and EHR Beginning in 2015, 

the listed entry is corrected to read as 

follows: 


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Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14863 

BILLING CODE 4120–01–P 

21. On page 67848, the last two rows, 

and the first row on page 67849, in 

Table 55: Measures Being Removed 

from the Existing PQRS Measure Set 

Beginning in 2015, the listed are 

corrected to read as follows: 


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-= "' - g, <'II ,Q = c ~ 

~~ Q = ~ ~ ~rJJ. NQS ... "' ~ ~ lh: e 

Measure Title and Description¥ .... e > .... ~ 0~ rJJ. "' :! o•= Domain ·; rJJ. "S'JJ = "' Q -

z~ ... u ~ ~ ... •:&.~ - 0 ... lioil 

= ~ -

= ... ... - "' <'II ~= "' .;:~~ ~ .... <'II ... ... 0 ~ ~ 

Chronic Obstructive Pulmonary Disease 

(COPD): Spirometry Evaluation: 

Percentage of patients aged 18 years and 

Effective older with a diagnosis of COPD who had American 

0091/051 Clinical spirometry evaluation results documented Thoracic X X X 

Care Society 

A steward has been identified for this 

measure, and for this reason CMS is not 

fmalizing its proposal to remove this 

measure from reporting in 2015 PQRS. 

Chronic Obstructive Pulmonary Disease 

(COPD): Inhaled Bronchodilator 

Therapy: Percentage of patients aged 18 

years and older with a diagnosis of COPD 

Effective and who have an FEV/FVC less than 60% American 

0102/052 Clinical and have symptoms who were prescribed an Thoracic X X X 

Care inhaled bronchodilator Society 

A steward has been identified for this 

measure, and for this reason CMS is not 

fmalizing its proposal to remove this 

measure from reporting in 2015 PQRS. 

Osteoarthritis (OA): Function and Pain 

Assessment: Percentage of patient visits for 

Person and patients aged 21 years and older with a 

Caregiver- diagnosis of osteoarthritis (OA) with 

0050/109 Centered assessment for function and pain AAOS X X Experience 

and A steward has been identified for this 

Outcomes measure, and for this reason CMS is not 

finalizing its proposal to remove this 

measure from reporting in 2015 PQRS. 
14864 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

22. On page 67854, the second row, in 

Table 56: Existing Individual Quality 

Measures and Those Included in 

Measures Groups for the PQRS for 

Which Measure Reporting Updates Will 

Be Effective Beginning in 2015, the 

listed entry is corrected to read as 

follows: 


mstockstill on DSK4VPTVN1PROD with RULESER20MR15.009</GPH>

006 

7/0 

06 

Effective 

Clinical 

Care 

Coronary Artery Disease (CAD): 

Antiplatelet Therapy: Percentage of 

patients aged 18 years and older with a 

diagnosis of coronary artery disease (CAD) 

seen within a 12 month period who were 

prescribed aspirin or clopidogrel 

Several commenters were concerned with 

CMS' proposal to eliminate the claims-based 

reporting option for various measures, noting 

that not all eligible professionals have the 

resources to implement registry or EHR 

reporting and will no longer be able to 

participate in PQRS. CMS appreciates the 

commenters' concerns and believes that 

removal of the claims-based reporting option 

will not negatively impact a significant 

number of providers reporting these 

measures. CMS also received comments 

supporting inclusion of the measure in the 

Shared Savings Program CAD Composite 

measure but with composite measure testing 

and NQF review. Therefore, CMS is 

finalizing its proposal to remove the claimsbased reporting option for this measure in 

2015 PQRS as part of its goal to lower the 

data error rate and decrease provider burden. 

CMS will not finalize adding this measure in 

the Shared Savings Program CAD 

AMAPCPI 

ACCF 

AHA 

X X ACO 
Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14865 

23. On page 67877, second row, in 

Table 56: Existing Individual Quality 

Measures and Those Included in 

Measures Groups for the PQRS for 

Which Measure Reporting Updates Will 

Be Effective Beginning in 2015, the 

listed entry is corrected to read as 

follows: 

BILLING CODE 4120–01–C 

24. On page 67988, in Table 93: CY 

2015 PFS Final Rule with Comment 

Period Estimated Impact Table: Impacts 

of Work, Practice Expense, and 

Malpractice RVUs, the table is corrected 

to read as follows: 


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14866 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 


mstockstill on DSK4VPTVN1PROD with RULESER20MR15.013</GPH>

TABLE 93: CY 2015 PFS Final Rule with Comment Period Estimated Impact Table: Impacts 

of Work, Practice Expense, and Malpractice RVUs 

(A) (B) (C) (D) (E) (F) 

Specialty Allowed Impact of ImpactofPE Impact of Combined 

Charges WorkRVU RVU MPRVU Impact 

(mil) Changes Changes Changes 

TOTAL $88,095 0% 0% 0% 0% 

ALLERGYnMMUNOLOGY $216 0% 0% 0% 0% 

ANESTHESIOLOGY $1,993 0% 0% 0% 0% 

AUDIOLOGIST $60 0% 0% -1% 0% 

CARDIAC SURGERY $356 0% 0% 0% 0% 

CARDIOLOGY $6,470 0% 0% 0% 1% 

CHIROPRACTOR $812 0% 0% -1% -1% 

CLINICAL PSYCHOLOGIST $704 0% -1% -1% -1% 

CLINICAL SOCIAL WORKER $522 0% -1% -1% -1% 

COLON AND RECTAL SURGERY $159 0% 0% 1% 0% 

CRITICAL CARE $287 0% 0% 1% 0% 

DERMATOLOGY $3,177 0% -1% 0% -2% 

DIAGNOSTIC TESTING FACILITY $715 0% -2% 0% -2% 

EMERGENCY MEDICINE $3,053 0% 0% 1% 1% 

ENDOCRINOLOGY $457 0% 0% 0% 0% 

FAMILY PRACTICE $6,116 1% 0% 0% 1% 

GASTROENTEROLOGY $1,884 0% 0% 0% 0% 

GENERAL PRACTICE $507 0% 0% 0% 0% 

GENERAL SURGERY $2,256 0% -1% 1% 0% 

GERIATRICS $227 1% 1% 0% 1% 

HAND SURGERY $160 0% 0% 0% 0% 

HEMATOLOGY/ONCOLOGY $1,811 0% 0% 0% 1% 

INDEPENDENT LABORATORY $714 -1% 0% 0% -1% 

INFECTIOUS DISEASE $655 0% 0% 0% 0% 

INTERNAL MEDICINE $11,132 1% 0% 0% 1% 

INTERVENTIONAL PAIN MGMT $678 0% 0% 0% 0% 

INTERVENTIONAL RADIOLOGY $273 0% 1% 0% 1% 

MUL TISPECIAL TY CLINIC/OTHER PHY $84 0% 0% 0% 0% 

NEPHROLOGY $2,181 0% 0% 0% 0% 

NEUROLOGY $1,513 0% 0% 0% 0% 

NEUROSURGERY $740 0% 0% 2% 2% 

NUCLEAR MEDICINE $49 0% 0% 0% 0% 

NURSE ANES I ANES ASST $1,185 0% 0% 0% 0% 

NURSE PRACTITIONER $2,225 0% 0% 0% 0% 

OBSTETRICS/GYNECOLOGY $696 0% 0% 0% -1% 
Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 14867 

25. On page 67991 through 67992, in 

Table 94: Impact of Final Rule with 

Comment Period on CY 2015 Payment 

for Selected Procedures the table is 

corrected to read as follows: 

BILLING CODE 4120–01–P 


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(A) (B) (C) (D) (E) (F) 

Specialty Allowed Impact of ImpactofPE Impact of Combined 

Charges WorkRVU RVU MPRVU Impact 

(mil) Changes Changes Changes 

OPHTHALMOLOGY $5,685 0% 0% -2% -2% 

OPTOMETRY $1,163 0% 0% -1% -1% 

ORAL/MAXILLOFACIAL SURGERY $45 0% 0% 0% 0% 

ORTHOPEDIC SURGERY $3,673 0% -1% 0% 0% 

OTHER $28 0% 0% -1% -1% 

OTOLARNGOLOGY $1,174 0% 0% 0% 0% 

PATHOLOGY $1,077 -1% 1% 0% 0% 

PEDIATRICS $59 0% 0% 0% 0% 

PHYSICAL MEDICINE $1,009 0% 0% 0% 0% 

PHYSICAL/OCCUPATIONAL THERAPY $2,836 0% 0% 0% 0% 

PHYSICIAN ASSISTANT $1,565 0% 0% 0% 0% 

PLASTIC SURGERY $376 0% 0% 0% -1% 

PODIATRY $2,003 0% 0% 0% 0% 

PORTABLE X-RAY SUPPLIER $112 0% -2% 0% -2% 

PSYCHIATRY $1,352 0% 0% 0% 0% 

PULMONARY DISEASE $1,795 0% 0% 0% 0% 

RADIATION ONCOLOGY $1,794 0% 0% 0% 0% 

RADIATION THERAPY CENTERS $57 0% 0% 0% 0% 

RADIOLOGY $4,524 0% -1% 0% -1% 

RHEUMATOLOGY $541 0% 0% 0% -1% 

THORACIC SURGERY $344 0% 0% 0% 0% 

UROLOGY $1,838 0% 0% 0% 0% 

VASCULAR SURGERY $980 0% 0% 0% 0% 

Note: Table 93 shows only the payment Impact on PFS services. These Impacts use a constant conversiOn factor and 

thus do not include the effects of the April2015 conversion factor change required under current law. 

ER20MR15.011</GPH>mstockstill on DSK4VPTVN1PROD with RULES

TABLE 94: Impact of Final Rule with Comment Period on CY 2015 Payment for Selecte

93015 93307 I 26 

Cardiovascular stress test 

Tte w/o doppler complete 

NA 

$45.85 

NA 

$45.77 

NA 

0% 

NA I NA 

$36.08 -21% 

$75.94 $45.85 
27. On page 67999, third column, first 

full paragraph, 

a. Line 18, the figure ‘‘35.8013,’’ is 

corrected to read ‘‘35.7547,’’. 

b. Line 21, the figure ‘‘$109.19,’’ is 

corrected to read ‘‘$108.18,’’. 

c. Line 23, the phrase ‘‘this service 

‘‘this service would be $21.74.’’ 

would be $21.84.’’ is corrected to read 


ER20MR15.012</GPH>mstockstill on DSK4VPTVN1PROD with RULES

CPT codes and descriptions are copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DF

2 The CY 2014 conversion factor is 35.8228. 

3 Payments based on the CY 2015 conversion factor of35.7547 effective January 1- March 31. 

4 Payments based on the CY 2015 conversion factor of28.1872 effective Aprill. 
14870 Federal Register / Vol. 80, No. 54 / Friday, March 20, 2015 / Rules and Regulations 

List of Subjects in 42 CFR Part 410 

Health facilities, Health professions, 

Kidney diseases, Laboratories, 

Medicare, Reporting and recordkeeping 

requirements, Rural areas, X-rays. 

Accordingly, 42 CFR chapter IV is 

corrected by making the following 

correcting amendments to part 410: 

PART 410—SUPPLEMENTARY 

MEDICAL INSURANCE (SMI) 

BENEFITS 

■ 1. The authority citation for part 410 

continues to read as follows: 

Authority: Secs. 1102, 1834, 1871, 1881, 

and 1893 of the Social Security Act (42 

U.S.C. 1302, 1395m, 1395hh, and 1395ddd. 

■ 2. Section 410.26 is amended by 

revising paragraph (b)(5) to read as 

follows: 

§ 410.26 Services and supplies incident to 

a physician’s professional services: 

Conditions. 

* * * * * 

(b) * * * 

(5) In general, services and supplies 

must be furnished under the direct 

supervision of the physician (or other 

practitioner). Chronic care management 

services and transitional care 

management services (other than the 

required face-to-face visit) can be 

furnished under general supervision of 

the physician (or other practitioner) 

when they are provided by clinical staff 

incident to the services of a physician 

(or other practitioner). The physician (or 

other practitioner) supervising the 

auxiliary personnel need not be the 

same physician (or other practitioner) 

upon whose professional service the 

incident to service is based. 

* * * * * 

Dated: March 13, 2015. 

C’Reda Weeden, 

Executive Secretary to the Department, 

Department of Health and Human Services. 

[FR Doc. 2015–06427 Filed 3–19–15; 8:45 am] 

BILLING CODE 4120–01–C 

DEPARTMENT OF COMMERCE 

National Oceanic and Atmospheric 

Administration 

50 CFR Part 648 

[Docket No. 140902739–5224–02] 

RIN 0648–BE49 

Fisheries of the Northeastern United 

States; Atlantic Mackerel, Squid, and 

Butterfish Fisheries; Specifications 

and Management Measures 

AGENCY: National Marine Fisheries 

Service (NMFS), National Oceanic and 

Atmospheric Administration (NOAA), 

Commerce. 

ACTION: Final rule. 

SUMMARY: NMFS is implementing 2015 

specifications and management 

measures for Atlantic mackerel, 2015– 

2017 specifications for Illex squid, 

2015–2017 specifications for longfin 

squid, and 2015–2017 specifications for 

butterfish. This action also establishes a 

simplified butterfish fishery closure 

mechanism. These specifications set 

catch levels to prevent overfishing and 

allocate catch to commercial and 

recreational fisheries. Additionally, the 

simplified butterfish closure mechanism 

makes operation of the fishery more 

efficient and consistent with the higher 

catch limit for butterfish. These 

specifications and management 

measures are consistent with the 

Atlantic Mackerel, Squid, and Butterfish 

Fishery Management Plan and the 

recommendations of the Mid-Atlantic 

Fishery Management Council. 

DATES: Effective April 20, 2015. 

ADDRESSES: Copies of the specifications 

document, including the Environmental 

Assessment and Initial Regulatory 

Flexibility Analysis (EA/IRFA) and 

other supporting documents for the 

specifications, are available from Dr. 

Christopher Moore, Executive Director, 

Mid-Atlantic Fishery Management 

Council, Suite 201, 800 N. State Street, 

Dover, DE 19901. The specifications 

document is also accessible via the 

Internet at: http://

www.greateratlantic.fisheries.noaa.gov/. 

FOR FURTHER INFORMATION CONTACT: 

Carly Bari, Fishery Policy Analyst, (978) 

281–9224. 

SUPPLEMENTARY INFORMATION: 

Background 

Specifications, as referred to in this 

rule, are the combined suite of 

commercial and recreational catch 

levels established for one or more 

fishing years. The specifications process 

also allows for the modification of a 

select number of management measures, 

such as closure thresholds, gear 

restrictions, and possession limits. The 

Council’s process for establishing 

specifications relies on provisions 

within the Atlantic Mackerel, Squid, 

and Butterfish Fishery Management 

Plan (FMP) and its implementing 

regulations, as well as requirements 

established by the Magnuson-Stevens 

Fishery Conservation and Management 

Act. Specifically, section 302(g)(1)(B) of 

the Magnuson-Stevens Act states that 

the Scientific and Statistical Committee 

(SSC) for each Regional Fishery 

Management Council shall provide its 

Council ongoing scientific advice for 

fishery management decisions, 

including recommendations for 

acceptable biological catch (ABC), 

preventing overfishing, maximum 

sustainable yield, and achieving 

rebuilding targets. The ABC is a level of 

catch that accounts for the scientific 

uncertainty in the estimate of the stock’s 

defined overfishing level (OFL). 

The Council’s SSC met on May 7 and 

8, 2014, to recommend ABCs for the 

2015 Atlantic mackerel specifications, 

and the 2015–2017 butterfish, Illex 

squid, and longfin squid specifications. 

On November 14, 2014, NMFS 

published a proposed rule for fishing 

year 2015 for the mackerel, squid, and 

butterfish fishery specifications and 

management measures (79 FR 68202); 

the public comment period for the 

proposed rule ended December 15, 

2014. 

The Atlantic Mackerel, Squid, and 

Butterfish FMP regulations require the 

specification of annual catch limits 

(ACL) and accountability measures 

(AM) for mackerel and butterfish (both 

squid species are exempt from the ACL/ 

AM requirements because they have a 

life cycle of less than 1 year). In 

addition, the regulations require the 

specification of domestic annual harvest 

(DAH), domestic annual processing 

(DAP), and total allowable level of 

foreign fishing (TALFF), along with 

joint venture processing for (JVP) 

commercial and recreational annual 

catch totals (ACT) for mackerel, the 

butterfish mortality cap in the longfin 

squid fishery, and initial optimum yield 

(IOY) for both squid species. Details 

concerning the Council’s development 

of these measures were presented in the 

preamble of the proposed rule and are 

not repeated here. 

In addition to the specifications, this 

action simplifies the management 

measure for the directed buttefish 

fishery and changes the regulations in 

regard to possession limits. 

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