46 Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations

[FR Doc. 94–32234 Filed 12–30–94; 8:45 am]

BILLING CODE 6560–50–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 410 and 414

[BPD–789–CN]

RIN 0938–AG52

Medicare Program; Refinements to

Geographic Adjustment Factor Values,

Revisions to Payment Policies,

Adjustments to the Relative Value

Units (RVUs) Under the Physician Fee

Schedule for Calendar Year 1995, and

the 5-Year Refinement of RVUs

AGENCY: Health Care Financing

Administration (HCFA), HHS.

ACTION: Correction of final rule with

comment period.

SUMMARY: This document corrects

technical errors that appeared in the

final rule with comment period

published in the Federal Register on

December 8, 1994 (59 FR 63410) entitled

‘‘Medicare Program; Refinements to

Geographic Adjustment Factor Values,

Revisions to Payment Policies,

Adjustments to the Relative Value Units

(RVUs) Under the Physician Fee

Schedule for Calendar Year 1995, and

the 5-Year Refinement of RVUs.’’

EFFECTIVE DATE: January 1, 1995.

FOR FURTHER INFORMATION CONTACT:

Elizabeth Holland, (410) 966–1309.

SUPPLEMENTARY INFORMATION:

Background

In the Federal Register Document

[94–29916] dated December 8, 1994

beginning on page 63410, there were a

number of technical and typographical

errors in the preamble, in one section of

the regulations text, and in two of the

addenda. The corrections appear later in

this document, under the heading

‘‘Correction of Errors.’’

In Table 6, Anesthesia Codes and

Imputed RVUs, beginning on page

63456, we omitted the entry for HCPCS

code 00534 and should not have

included HCPCS code 00806. Also in

Table 6, due to a transcription error, the

‘‘descriptions’’ were incorrect for

HCPCS codes 00540 through 00802.

In the regulations text, § 414.39,

appearing at page 63463, the text does

not agree with the preamble description

of it on page 63418 relating to payment

of physician oversight services.

In Addendum B, Relative Value Units

(RVUs) and Related Information, on

page 63497, for HCPCS code 33247, the

incorrect work RVUs (9.36) and

incorrect total RVUs (25.06) were

printed. The correct work RVUs for

HCPCS code 33247 are 9.76 and the

correct total RVUs are 25.36.

In Addendum G, Reference Set with

1995 Work RVUs, we inadvertently

included some codes and omitted other

codes. Thus, we are reprinting a

corrected Addendum G in its entirety.

The codes that were incorrectly

included are listed below.

CODES TO BE DELETED FROM ADDENDUM G

HCPCS1 Description Work RVU

10040 ................. Acne surgery ........................................................................................................................................................... 1.34

10080 ................. Drainage of pilonidal cyst ........................................................................................................................................ 1.62

11042 ................. Cleansing of skin/tissue ........................................................................................................................................... 1.12

11050 ................. Trim skin lesion ....................................................................................................................................................... 0.43

11051 ................. Trim 2 to 4 skin lesions ........................................................................................................................................... 0.66

14041 ................. Skin tissue rearrangement ...................................................................................................................................... 10.74

14061 ................. Skin tissue rearrangement ...................................................................................................................................... 11.42

15732 ................. Muscle-skin graft, head/neck ................................................................................................................................... 12.10

15822 ................. Revision of upper eyelid .......................................................................................................................................... 4.27

15851 ................. Removal of sutures ................................................................................................................................................. 0.86

16000 ................. Initial treatment of burn(s) ....................................................................................................................................... 0.89

16025 ................. Treatment of burn(s) ................................................................................................................................................ 1.85

22505 ................. Manipulation of spine .............................................................................................................................................. 1.77

26990 ................. Drainage of pelvis lesion ......................................................................................................................................... 6.76

27125 ................. Partial hip replacement ............................................................................................................................................ 13.21

28450 ................. Treat midfoot fracture, each .................................................................................................................................... 1.77

28515 ................. Treatment of toe fracture ......................................................................................................................................... 1.36

31579 ................. Diagnostic laryngoscopy .......................................................................................................................................... 2.26

32005 ................. Treat lung lining chemically ..................................................................................................................................... 2.19

32095 ................. Biopsy through chest wall ....................................................................................................................................... 7.13

33249 ................. Insert/replace leads/gener ....................................................................................................................................... 12.83

33510 ................. Cabg, vein, single .................................................................................................................................................... 23.29

35381 ................. Rechanneling of artery ............................................................................................................................................ 14.50

43226 ................. Esophagus endoscopy, dilation ............................................................................................................................... 2.34

43640 ................. Vagotomy & pylorus repair ...................................................................................................................................... 13.28

43820 ................. Fusion of stomach and bowel ................................................................................................................................. 10.43

44110 ................. Excision of bowel lesion(s) ...................................................................................................................................... 9.01

44130 ................. Bowel to bowel fusion ............................................................................................................................................. 11.09

44141 ................. Partial removal of colon ........................................................................................................................................... 17.36

45383 ................. Colonoscopy, lesion removal .................................................................................................................................. 5.87

45915 ................. Remove rectal obstruction ....................................................................................................................................... 2.09

46080 ................. Incision of anal sphincter ......................................................................................................................................... 2.35

47100 ................. Wedge biopsy of liver .............................................................................................................................................. 6.75

47510 ................. Insert catheter, bile duct .......................................................................................................................................... 7.39

48100 ................. Biopsy of pancreas .................................................................................................................................................. 10.19

49002 ................. Reopening of abdomen ........................................................................................................................................... 9.40

49421 ................. Insert abdominal drain ............................................................................................................................................. 4.89

50360 ................. Transplantation of kidney ........................................................................................................................................ 27.05

50398 ................. Change kidney tube ................................................................................................................................................ 1.46

52005 ................. Cystoscopy & ureter catheter .................................................................................................................................. 2.37
Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations 47

CODES TO BE DELETED FROM ADDENDUM G—Continued

HCPCS1 Description Work RVU

52320 ................. Cystoscopy and treatment ....................................................................................................................................... 4.70

52330 ................. Cystoscopy and treatment ....................................................................................................................................... 5.04

52340 ................. Cystoscopy and treatment ....................................................................................................................................... 7.76

52630 ................. Remove prostate regrowth ...................................................................................................................................... 6.55

54001 ................. Slitting of prepuce .................................................................................................................................................... 2.14

54161 ................. Circumcision ............................................................................................................................................................ 3.22

55040 ................. Removal of hydrocele .............................................................................................................................................. 5.15

55520 ................. Removal of sperm cord lesion ................................................................................................................................ 5.72

57511 ................. Cryocautery of cervix ............................................................................................................................................... 1.85

57800 ................. Dilation of cervical canal ......................................................................................................................................... 0.77

58210 ................. Extensive hysterectomy ........................................................................................................................................... 23.97

58720 ................. Removal of ovary/tube(s) ........................................................................................................................................ 6.20

60220 ................. Partial removal of thyroid ........................................................................................................................................ 9.86

62272 ................. Drain spinal fluid ...................................................................................................................................................... 1.35

64640 ................. Injection treatment of nerve ..................................................................................................................................... 2.49

67311 ................. Revise eye muscle .................................................................................................................................................. 6.30

67903 ................. Repair eyelid defect ................................................................................................................................................. 6.22

67908 ................. Repair eyelid defect ................................................................................................................................................. 4.95

90911 ................. Anorectal biofeedback ............................................................................................................................................. 2.15

92975 ................. Dissolve clot, heart vessel ....................................................................................................................................... 7.25

93501 ................. Right heart catheterization ...................................................................................................................................... 3.02

93505 ................. Biopsy of heart lining ............................................................................................................................................... 4.56

93511 ................. Left heart catheterization ......................................................................................................................................... 5.03

93536 ................. Insert circulation assist ............................................................................................................................................ 4.85

93619 ................. Electrophysiology evaluation ................................................................................................................................... 7.32

93624 ................. Electrophysiologic study .......................................................................................................................................... 4.81

99217 ................. Observation care discharge .................................................................................................................................... 1.09

1All numeric CPT HCPCS Copyright 1994 American Medical Association.

The codes that are to be added are listed below.

CODES TO BE ADDED TO ADDENDUM G

HCPCS1 Description Work RVU

10060 ................. Drainage of skin abscess ........................................................................................................................................ 1.12

11043 ................. Cleansing of tissue/muscle ...................................................................................................................................... 1.83

11100 ................. Biopsy of skin lesion ................................................................................................................................................ 0.81

14060 ................. Skin tissue rearrangement ...................................................................................................................................... 8.05

15260 ................. Skin full graft procedure .......................................................................................................................................... 9.56

15823 ................. Revision of upper eyelid .......................................................................................................................................... 6.65

15946 ................. Removal of pressure sore ....................................................................................................................................... 19.81

17000 ................. Destroy benign/premal lesion .................................................................................................................................. 0.64

19240 ................. Removal of breast ................................................................................................................................................... 14.71

22554 ................. Neck spine fusion .................................................................................................................................................... 18.14

26531 ................. Revise knuckle with implant .................................................................................................................................... 7.57

27006 ................. Incision of hip tendons ............................................................................................................................................ 9.50

28485 ................. Repair metatarsal fracture ....................................................................................................................................... 5.31

31584 ................. Repair of larynx fracture .......................................................................................................................................... 18.50

32020 ................. Insertion of chest tube ............................................................................................................................................. 3.98

33405 ................. Replacement of aortic valve .................................................................................................................................... 28.47

33430 ................. Replacement of mitral valve .................................................................................................................................... 29.42

33500 ................. Repair heart vessel fistula ....................................................................................................................................... 23.91

35454 ................. Repair arterial blockage .......................................................................................................................................... 6.04

43235 ................. Upper GI endoscopy, diagnosis .............................................................................................................................. 2.39

43750 ................. Place gastrostomy tube ........................................................................................................................................... 5.71

44120 ................. Removal of small intestine ...................................................................................................................................... 13.15

44140 ................. Partial removal of colon ........................................................................................................................................... 16.97

45385 ................. Colonoscopy, lesion removal .................................................................................................................................. 5.31

46050 ................. Incision of anal abscess .......................................................................................................................................... 1.14

46600 ................. Diagnostic anoscopy ............................................................................................................................................... 0.50

47130 ................. Partial removal of liver ............................................................................................................................................. 31.56

48150 ................. Partial removal of pancreas .................................................................................................................................... 40.25

49000 ................. Exploration of abdomen .......................................................................................................................................... 8.99

49505 ................. Repair inguinal hernia ............................................................................................................................................. 6.17

50392 ................. Insert kidney drain ................................................................................................................................................... 5.59

50393 ................. Insert ureteral tube .................................................................................................................................................. 6.88

50780 ................. Reimplant ureter in bladder ..................................................................................................................................... 17.12

51860 ................. Repair of bladder wound ......................................................................................................................................... 11.17

52000 ................. Cystoscopy .............................................................................................................................................................. 2.01

52325 ................. Cystoscopy, stone removal ..................................................................................................................................... 6.16
48 Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations

CODES TO BE ADDED TO ADDENDUM G—Continued

HCPCS1 Description Work RVU

52601 ................. Prostatectomy (TURP) ............................................................................................................................................ 11.51

54150 ................. Circumcision ............................................................................................................................................................ 1.78

55250 ................. Removal of sperm duct(s) ....................................................................................................................................... 3.21

57520 ................. Conization of cervix ................................................................................................................................................. 3.96

58260 ................. Vaginal hysterectomy .............................................................................................................................................. 11.39

59400 ................. Obstetrical care ....................................................................................................................................................... 20.99

59515 ................. Cesarean delivery .................................................................................................................................................... 16.55

62270 ................. Spinal fluid tap, diagnostic ...................................................................................................................................... 1.13

63075 ................. Neck spine disk surgery .......................................................................................................................................... 19.77

63690 ................. Analysis of neuroreceiver ........................................................................................................................................ 0.45

63691 ................. Analysis of neuroreceiver ........................................................................................................................................ 0.65

64595 ................. Revise/remove neuroreceiver .................................................................................................................................. 1.68

67228 ................. Treatment of retinal lesion ....................................................................................................................................... 12.39

67904 ................. Repair eyelid defect ................................................................................................................................................. 5.96

92950 ................. Heart/lung resuscitation (cpr) .................................................................................................................................. 3.80

92982 ................. Coronary artery dilation ........................................................................................................................................... 10.98

93510 ................. Left heart catheterization ......................................................................................................................................... 4.33

93526 ................. Rt & Lt heart catheters ............................................................................................................................................ 5.99

93620 ................. Electrophysiology evaluation ................................................................................................................................... 11.59

99295 ................. Neonatal critical care ............................................................................................................................................... 16.03

1All numeric CPT HCPCS Copyright 1994 American Medical Association.

Correction of Errors

In FR Doc. 94–29916 of December 8, 1994 (59 FR 63410) make the following corrections:

A. Page 63456, Table 6

On page 63456, the following code is added in numerical order to read:

HCPCS1 Description Base unit Time unit Imputed

work RVUs

* * * * * * *

00534 ................................... Anesth, Cardioverter/defib ...................................................................... 7 9.65 4.49

* * * * * * *

1All numeric CPT HCPCS Copyright 1994 American Medical Association.

B. Pages 63456 and 63457, Table 6

1. On pages 63456 and 63457, the HCPCS codes starting with 00540 through 00802 are corrected to read as follows:

HCPCS1 Description Base unit Time unit Imputed

work RVUS

00540 ................. Anesth, chest surgery ............................................................................................... 13 12.99 7.01

00542 ................. Anesth, release of lung ............................................................................................ 15 13.32 7.64

00544 ................. Anesth, chest lining removal .................................................................................... 15 14.00 7.83

00546 ................. Anesth, lung, chest wall surg ................................................................................... 15 15.59 8.26

00548 ................. Anesth, trachea, bronchi surg .................................................................................. 15 14.86 8.06

00560 ................. Anesth, open heart surgery ...................................................................................... 15 10.89 6.99

00562 ................. Anesth, open heart surgery ...................................................................................... 20 22.27 11.41

00580 ................. Anesth, heart/lung transplant ................................................................................... 20 27.01 12.69

00600 ................. Anesth, spine, cord surgery ..................................................................................... 10 14.31 6.56

00604 ................. Anesth, surgery of vertebra ...................................................................................... 13 13.44 7.14

00620 ................. Anesth, spine, cord surgery ..................................................................................... 10 15.34 6.84

00622 ................. Anesth, removal of nerves ....................................................................................... 13 10.08 6.23

00630 ................. Anesth, spine, cord surgery ..................................................................................... 8 11.30 5.21

00632 ................. Anesth, removal of nerves ....................................................................................... 7 7.95 4.03

00634 ................. Anesth for chemonucleolysis .................................................................................... 10 1.92 3.22

00670 ................. Anesth, spine, cord surgery ..................................................................................... 13 21.82 9.40

00700 ................. Anesth, abdominal wall surg .................................................................................... 3 5.99 2.43

00702 ................. Anesth, for liver biopsy ............................................................................................. 4 7.67 3.15

00730 ................. Anesth, abdominal wall surg .................................................................................... 5 6.94 3.22

00740 ................. Anesth, gi visualization ............................................................................................. 5 3.29 2.24

00750 ................. Anesth, repair of hernia ............................................................................................ 4 6.62 2.87

00752 ................. Anesth, repair of hernia ............................................................................................ 6 7.45 3.63

00754 ................. Anesth, repair of hernia ............................................................................................ 7 9.12 4.35

00756 ................. Anesth, repair of hernia ............................................................................................ 7 11.55 5.01
Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations 49

HCPCS1 Description Base unit Time unit Imputed

work RVUS

00770 ................. Anesth, blood vessel repair ...................................................................................... 15 18.01 8.91

00790 ................. Anesth, surg upper abdomen ................................................................................... 7 9.88 4.56

00792 ................. Anesth, part liver removal ........................................................................................ 13 19.03 8.64

00794 ................. Anesth, pancreas removal ........................................................................................ 8 23.85 8.60

00796 ................. Anesth, for liver transplant ....................................................................................... 30 41.76 19.37

00800 ................. Anesth, abdominal wall surg .................................................................................... 3 5.88 2.40

00802 ................. Anesth, fat layer removal ......................................................................................... 5 10.47 4.18

* * * * * * *

1All numeric CPT HCPCS Copyright 1994 American Medical Association.

2. On page 63457, HCPCS code 00806 in Table 6 is removed.

C. Page 63463

In column 2, in § 414.39(b)(2), line 8, the words ‘‘HHA or’’ are removed.

D. Page 63497

On page 63497, Addendum B, HCPCS code 33247 is corrected to read as follows:

HCPCS1 MOD Status Description Work

RVUs 2

Practice

expense

RVUs 3

Malpractice

RVUs

Total Global period

Update

* * * * * * *

33247 ........... ............. A Insert/replace leads .................... 9.76 13.24 2.36 25.36 090 N

* * * * * * *

1All numeric CPT HCPCS Copyright 1994 American Medical Association.

2 # Indicates RVUs are not used for Medicare payment. 3 Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

E. Pages 63633 through 63635

On pages 63633 through 63635, Addendum G is corrected to read as follows:

ADDENDUM G.—REFERENCE SET WITH 1995 WORK RVUS

HCPCS1 Description Work RVU

10060 ................. Drainage of skin abscess ........................................................................................................................................ 1.12

10120 ................. Remove foreign body .............................................................................................................................................. 1.19

11040 ................. Surgical cleansing, abrasion ................................................................................................................................... 0.50

11043 ................. Cleansing of tissue/muscle ...................................................................................................................................... 1.83

11100 ................. Biopsy of skin lesion ................................................................................................................................................ 0.81

11400 ................. Removal of skin lesion ............................................................................................................................................ 0.86

11406 ................. Removal of skin lesion ............................................................................................................................................ 2.71

11441 ................. Removal of skin lesion ............................................................................................................................................ 1.56

11603 ................. Removal of skin lesion ............................................................................................................................................ 2.30

11642 ................. Removal of skin lesion ............................................................................................................................................ 2.88

11762 ................. Reconstruction of nail bed ....................................................................................................................................... 2.84

12002 ................. Repair superficial wound(s) ..................................................................................................................................... 1.81

14060 ................. Skin tissue rearrangement ...................................................................................................................................... 8.05

15100 ................. Skin split graft procedure ........................................................................................................................................ 8.05

15240 ................. Skin full graft procedure .......................................................................................................................................... 8.30

15260 ................. Skin full graft procedure .......................................................................................................................................... 9.56

15734 ................. Muscle-skin graft, trunk ........................................................................................................................................... 16.52

15755 ................. Microvascular flap graft ........................................................................................................................................... 28.33

15823 ................. Revision of upper eyelid .......................................................................................................................................... 6.65

15937 ................. Remove sacrum pressure sore ............................................................................................................................... 12.98

15946 ................. Removal of pressure sore ....................................................................................................................................... 19.81

17000 ................. Destroy benign/premal lesion .................................................................................................................................. 0.64

17100 ................. Destruction of skin lesion ........................................................................................................................................ 0.53

19240 ................. Removal of breast ................................................................................................................................................... 14.71

19318 ................. Reduction of large breast ........................................................................................................................................ 11.08

19364 ................. Breast reconstruction ............................................................................................................................................... 27.60

19367 ................. Breast reconstruction ............................................................................................................................................... 24.73

20610 ................. Drain/inject joint/bursa ............................................................................................................................................. 0.79

21267 ................. Revise eye sockets ................................................................................................................................................. 17.66

21395 ................. Repair eye socket fracture ...................................................................................................................................... 11.85

21433 ................. Repair craniofacial fracture ..................................................................................................................................... 23.69
50 Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations

ADDENDUM G.—REFERENCE SET WITH 1995 WORK RVUS—Continued

HCPCS1 Description Work RVU

22554 ................. Neck spine fusion .................................................................................................................................................... 18.14

22595 ................. Neck spinal fusion ................................................................................................................................................... 19.24

23412 ................. Repair of tendon(s) .................................................................................................................................................. 12.69

25611 ................. Repair fracture radius/ulna ...................................................................................................................................... 7.11

26040 ................. Release palm contracture ....................................................................................................................................... 3.09

26045 ................. Release palm contracture ....................................................................................................................................... 5.27

26055 ................. Incise finger tendon sheath ..................................................................................................................................... 2.56

26123 ................. Release palm contracture ....................................................................................................................................... 8.64

26356 ................. Repair finger/hand tendon ....................................................................................................................................... 7.05

26531 ................. Revise knuckle with implant .................................................................................................................................... 7.57

26615 ................. Repair metacarpal fracture ...................................................................................................................................... 5.18

27006 ................. Incision of hip tendons ............................................................................................................................................ 9.50

27165 ................. Incision/fixation of femur .......................................................................................................................................... 16.20

27170 ................. Repair/graft femur head/neck .................................................................................................................................. 14.90

27418 ................. Repair degenerated kneecap .................................................................................................................................. 9.82

27635 ................. Remove lower leg bone lesion ................................................................................................................................ 7.29

27792 ................. Repair of ankle fracture ........................................................................................................................................... 7.04

28285 ................. Repair of hammertoe ............................................................................................................................................... 4.41

28485 ................. Repair metatarsal fracture ....................................................................................................................................... 5.31

29881 ................. Knee arthroscopy/surgery ....................................................................................................................................... 7.46

30520 ................. Repair of nasal septum ........................................................................................................................................... 5.55

31575 ................. Diagnostic laryngoscopy .......................................................................................................................................... 1.10

31584 ................. Repair of larynx fracture .......................................................................................................................................... 18.50

31600 ................. Incision of windpipe ................................................................................................................................................. 3.62

31622 ................. Diagnostic bronchoscopy ........................................................................................................................................ 2.80

32000 ................. Drainage of chest .................................................................................................................................................... 1.54

32020 ................. Insertion of chest tube ............................................................................................................................................. 3.98

32100 ................. Exploration/biopsy of chest ..................................................................................................................................... 10.07

32440 ................. Removal of lung ...................................................................................................................................................... 19.15

32480 ................. Partial removal of lung ............................................................................................................................................ 16.84

32500 ................. Partial removal of lung ............................................................................................................................................ 13.10

32602 ................. Thoracoscopy, diagnostic ........................................................................................................................................ 5.96

33208 ................. Insertion of heart pacemaker .................................................................................................................................. 7.28

33405 ................. Replacement of aortic valve .................................................................................................................................... 28.47

33426 ................. Repair of mitral valve .............................................................................................................................................. 26.07

33430 ................. Replacement of mitral valve .................................................................................................................................... 29.42

33500 ................. Repair heart vessel fistula ....................................................................................................................................... 23.91

33512 ................. CABG, vein, three ................................................................................................................................................... 27.84

33513 ................. CABG, vein, four ..................................................................................................................................................... 30.12

33533 ................. CABG, arterial, single .............................................................................................................................................. 24.00

33870 ................. Transverse aortic arch graft .................................................................................................................................... 37.74

34201 ................. Removal of artery clot ............................................................................................................................................. 8.04

35081 ................. Repair defect of artery ............................................................................................................................................. 22.15

35082 ................. Repair artery rupture, aorta ..................................................................................................................................... 28.82

35091 ................. Repair defect of artery ............................................................................................................................................. 28.10

35207 ................. Repair blood vessel lesion ...................................................................................................................................... 9.06

35221 ................. Repair blood vessel lesion ...................................................................................................................................... 15.11

35301 ................. Rechanneling of artery ............................................................................................................................................ 15.95

35454 ................. Repair arterial blockage .......................................................................................................................................... 6.04

35473 ................. Repair arterial blockage .......................................................................................................................................... 6.04

35474 ................. Repair arterial blockage .......................................................................................................................................... 7.36

35556 ................. Artery bypass graft .................................................................................................................................................. 15.47

35646 ................. Artery bypass graft .................................................................................................................................................. 24.00

35654 ................. Artery bypass graft .................................................................................................................................................. 17.62

35656 ................. Artery bypass graft .................................................................................................................................................. 13.86

36140 ................. Establish access to artery ....................................................................................................................................... 2.01

36200 ................. Place catheter in aorta ............................................................................................................................................ 3.02

36215 ................. Place catheter in artery ........................................................................................................................................... 4.47

36216 ................. Place catheter in artery ........................................................................................................................................... 5.28

36245 ................. Place catheter in artery ........................................................................................................................................... 5.07

36471 ................. Injection therapy of veins ........................................................................................................................................ 1.49

36489 ................. Insertion of catheter, vein ........................................................................................................................................ 1.22

36533 ................. Insertion of access port ........................................................................................................................................... 3.82

36620 ................. Insertion catheter, artery ......................................................................................................................................... 1.15

37140 ................. Revision of circulation ............................................................................................................................................. 22.15

38720 ................. Removal of lymph nodes, neck ............................................................................................................................... 12.29

39400 ................. Visualization of chest ............................................................................................................................................... 5.11

40701 ................. Repair cleft lip/nasal ................................................................................................................................................ 15.10

42200 ................. Reconstruct cleft palate ........................................................................................................................................... 9.48

42415 ................. Excise parotid gland/lesion ...................................................................................................................................... 16.12

42440 ................. Excision submaxillary gland .................................................................................................................................... 6.61

42809 ................. Remove pharynx foreign body ................................................................................................................................ 1.76
Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations 51

ADDENDUM G.—REFERENCE SET WITH 1995 WORK RVUS—Continued

HCPCS1 Description Work RVU

42820 ................. Remove tonsils and adenoids ................................................................................................................................. 3.59

43235 ................. Upper GI endoscopy, diagnosis .............................................................................................................................. 2.39

43239 ................. Upper GI endoscopy, biopsy ................................................................................................................................... 2.69

43260 ................. Endoscopy, bile duct/pancreas ............................................................................................................................... 5.96

43268 ................. Endoscopy, bile duct/pancreas ............................................................................................................................... 7.39

43312 ................. Repair esophagus and fistula .................................................................................................................................. 27.26

43331 ................. Repair of esophagus ............................................................................................................................................... 14.73

43420 ................. Repair esophagus opening ..................................................................................................................................... 10.19

43610 ................. Excision of stomach lesion ...................................................................................................................................... 10.11

43750 ................. Place gastrostomy tube ........................................................................................................................................... 5.71

44120 ................. Removal of small intestine ...................................................................................................................................... 13.15

44140 ................. Partial removal of colon ........................................................................................................................................... 16.97

44152 ................. Removal of colon/ileostomy .................................................................................................................................... 22.98

44160 ................. Removal of colon ..................................................................................................................................................... 14.09

44950 ................. Appendectomy ......................................................................................................................................................... 6.06

45110 ................. Removal of rectum .................................................................................................................................................. 21.68

45300 ................. Proctosigmoidoscopy ............................................................................................................................................... 0.70

45330 ................. Sigmoidoscopy, diagnostic ...................................................................................................................................... 0.96

45331 ................. Sigmoidoscopy and biopsy ...................................................................................................................................... 1.26

45378 ................. Diagnostic colonoscopy ........................................................................................................................................... 3.70

45380 ................. Colonoscopy and biopsy ......................................................................................................................................... 4.01

45385 ................. Colonoscopy, lesion removal .................................................................................................................................. 5.31

46050 ................. Incision of anal abscess .......................................................................................................................................... 1.14

46221 ................. Ligation of hemorrhoid(s) ........................................................................................................................................ 1.38

46255 ................. Hemorrhoidectomy .................................................................................................................................................. 4.95

46260 ................. Hemorrhoidectomy .................................................................................................................................................. 6.70

46500 ................. Injection into hemorrhoids ....................................................................................................................................... 1.53

46600 ................. Diagnostic anoscopy ............................................................................................................................................... 0.50

47000 ................. Needle biopsy of liver .............................................................................................................................................. 1.90

47130 ................. Partial removal of liver ............................................................................................................................................. 31.56

47556 ................. Biliary endoscopy, thru skin .................................................................................................................................... 8.56

47605 ................. Removal of gallbladder ............................................................................................................................................ 11.53

48150 ................. Partial removal of pancreas .................................................................................................................................... 40.25

49000 ................. Exploration of abdomen .......................................................................................................................................... 8.99

49505 ................. Repair inguinal hernia ............................................................................................................................................. 6.17

50080 ................. Removal of kidney stone ......................................................................................................................................... 13.98

50230 ................. Removal of kidney ................................................................................................................................................... 20.56

50392 ................. Insert kidney drain ................................................................................................................................................... 5.59

50393 ................. Insert ureteral tube .................................................................................................................................................. 6.88

50780 ................. Reimplant ureter in bladder ..................................................................................................................................... 17.12

51050 ................. Removal of bladder stone ....................................................................................................................................... 6.04

51596 ................. Remove bladder, create pouch ............................................................................................................................... 36.27

51845 ................. Repair bladder neck ................................................................................................................................................ 9.06

51860 ................. Repair of bladder wound ......................................................................................................................................... 11.17

52000 ................. Cystoscopy .............................................................................................................................................................. 2.01

52325 ................. Cystoscopy, stone removal ..................................................................................................................................... 6.16

52601 ................. Prostatectomy (TURP) ............................................................................................................................................ 11.51

54150 ................. Circumcision ............................................................................................................................................................ 1.78

54520 ................. Removal of testis ..................................................................................................................................................... 4.93

54640 ................. Suspension of testis ................................................................................................................................................ 6.55

55250 ................. Removal of sperm duct(s) ....................................................................................................................................... 3.21

55530 ................. Revise spermatic cord veins ................................................................................................................................... 5.45

55700 ................. Biopsy of prostate .................................................................................................................................................... 1.57

55845 ................. Extensive prostate surgery ...................................................................................................................................... 26.73

56340 ................. Laparoscopic cholecystectomy ................................................................................................................................ 10.68

56360 ................. Peritoneoscopy ........................................................................................................................................................ 4.04

57100 ................. Biopsy of vagina ...................................................................................................................................................... 0.97

57300 ................. Repair rectum-vagina fistula .................................................................................................................................... 6.81

57520 ................. Conization of cervix ................................................................................................................................................. 3.96

58100 ................. Biopsy of uterus lining ............................................................................................................................................. 0.71

58150 ................. Total hysterectomy .................................................................................................................................................. 13.00

58260 ................. Vaginal hysterectomy .............................................................................................................................................. 11.39

58950 ................. Resect ovarian malignancy ..................................................................................................................................... 14.10

59160 ................. D&C after delivery ................................................................................................................................................... 2.66

59400 ................. Obstetrical care ....................................................................................................................................................... 20.99

59515 ................. Cesarean delivery .................................................................................................................................................... 16.55

60240 ................. Removal of thyroid .................................................................................................................................................. 15.66

61154 ................. Pierce skull, remove clot ......................................................................................................................................... 13.67

61312 ................. Open skull for drainage ........................................................................................................................................... 20.54

61510 ................. Removal of brain lesion ........................................................................................................................................... 23.39

61518 ................. Removal of brain lesion ........................................................................................................................................... 32.27

61520 ................. Removal of brain lesion ........................................................................................................................................... 38.35
52 Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations

ADDENDUM G.—REFERENCE SET WITH 1995 WORK RVUS—Continued

HCPCS1 Description Work RVU

61526 ................. Removal of brain lesion ........................................................................................................................................... 29.71

61530 ................. Removal of brain lesion ........................................................................................................................................... 42.35

61700 ................. Inner skull vessel surgery ........................................................................................................................................ 34.83

62223 ................. Establish brain cavity shunt ..................................................................................................................................... 12.81

62270 ................. Spinal fluid tap, diagnostic ...................................................................................................................................... 1.13

62279 ................. Inject spinal anesthetic ............................................................................................................................................ 1.58

62284 ................. Injection for myelogram ........................................................................................................................................... 1.54

62289 ................. Injection into spinal canal ........................................................................................................................................ 1.64

63012 ................. Removal of spinal lamina ........................................................................................................................................ 14.21

63017 ................. Removal of spinal lamina ........................................................................................................................................ 15.85

63030 ................. Low back disk surgery ............................................................................................................................................. 12.11

63047 ................. Removal of spinal lamina ........................................................................................................................................ 12.76

63075 ................. Neck spine disk surgery .......................................................................................................................................... 19.77

63650 ................. Implant neuroelectrodes .......................................................................................................................................... 5.99

63660 ................. Revise/remove neuroelectrode ................................................................................................................................ 5.54

63685 ................. Implant neuroreceiver .............................................................................................................................................. 6.29

63688 ................. Revise/remove neuroreceiver .................................................................................................................................. 4.77

63690 ................. Analysis of neuroreceiver ........................................................................................................................................ 0.45

63691 ................. Analysis of neuroreceiver ........................................................................................................................................ 0.65

63750 ................. Insert spinal canal catheter ..................................................................................................................................... 7.23

63780 ................. Insert spinal canal catheter ..................................................................................................................................... 6.22

64442 ................. Injection for nerve block .......................................................................................................................................... 1.41

64590 ................. Implant neuroreceiver .............................................................................................................................................. 2.35

64595 ................. Revise/remove neuroreceiver .................................................................................................................................. 1.68

64721 ................. Carpal tunnel surgery .............................................................................................................................................. 3.99

66984 ................. Remove cataract, insert lens ................................................................................................................................... 9.89

67010 ................. Partial removal of eye fluid ...................................................................................................................................... 6.67

67107 ................. Repair detached retina ............................................................................................................................................ 13.99

67145 ................. Treatment of retina .................................................................................................................................................. 5.07

67228 ................. Treatment of retinal lesion ....................................................................................................................................... 12.39

67904 ................. Repair eyelid defect ................................................................................................................................................. 5.96

69631 ................. Repair eardrum structures ....................................................................................................................................... 9.55

70220 ................. X-ray exam of sinuses ............................................................................................................................................. 0.25

70450 ................. CAT scan of head or brain ...................................................................................................................................... 0.85

70470 ................. Contrast CAT scans of head ................................................................................................................................... 1.27

70541 ................. Magnetic image, head (MRA) ................................................................................................................................. 1.81

70553 ................. Magnetic image, brain ............................................................................................................................................. 2.36

71020 ................. Chest x-ray .............................................................................................................................................................. 0.22

72050 ................. X-ray exam of neck spine ....................................................................................................................................... 0.31

72100 ................. X-ray exam of lower spine ...................................................................................................................................... 0.22

72131 ................. CAT scan of lower spine ......................................................................................................................................... 1.16

72148 ................. Magnetic image, lumbar spine ................................................................................................................................ 1.48

72170 ................. X-ray exam of pelvis ................................................................................................................................................ 0.17

73560 ................. X-ray exam of knee ................................................................................................................................................. 0.17

74000 ................. X-ray exam of abdomen .......................................................................................................................................... 0.18

74020 ................. X-ray exam of abdomen .......................................................................................................................................... 0.27

74160 ................. Contrast CAT scan of abdomen .............................................................................................................................. 1.27

74280 ................. Contrast x-ray exam of colon .................................................................................................................................. 0.99

74400 ................. Contrast x-ray urinary tract ...................................................................................................................................... 0.49

74455 ................. X-ray exam urethra/bladder ..................................................................................................................................... 0.33

75650 ................. Artery x-rays, head & neck ...................................................................................................................................... 1.49

75962 ................. Repair arterial blockage .......................................................................................................................................... 0.54

76091 ................. Mammogram, both breasts ..................................................................................................................................... 0.41

76519 ................. Echo exam of eye ................................................................................................................................................... 0.54

76645 ................. Echo exam of breast ............................................................................................................................................... 0.54

76700 ................. Echo exam of abdomen .......................................................................................................................................... 0.81

76805 ................. Echo exam of pregnant uterus ................................................................................................................................ 0.99

76872 ................. Echo exam, transrectal ............................................................................................................................................ 0.69

77263 ................. Radiation therapy planning ...................................................................................................................................... 3.14

77290 ................. Set radiation therapy field ....................................................................................................................................... 1.56

77430 ................. Weekly radiation therapy ......................................................................................................................................... 3.60

77762 ................. Radioelement application ........................................................................................................................................ 5.35

77777 ................. Radioelement application ........................................................................................................................................ 6.99

78006 ................. Thyroid, imaging with uptake .................................................................................................................................. 0.49

78223 ................. Hepatobiliary imaging .............................................................................................................................................. 0.84

78306 ................. Bone imaging, whole body ...................................................................................................................................... 0.86

78461 ................. Heart muscle blood multiple .................................................................................................................................... 1.23

78465 ................. Heart image (3D) multiple ....................................................................................................................................... 1.46

78472 ................. Gated heart, resting ................................................................................................................................................. 0.98

78585 ................. Lung V/Q imaging .................................................................................................................................................... 1.09

79000 ................. Intial hyperthyroid therapy ....................................................................................................................................... 1.80

80500 ................. Lab pathology consultation ...................................................................................................................................... 0.37
Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations 53

ADDENDUM G.—REFERENCE SET WITH 1995 WORK RVUS—Continued

HCPCS1 Description Work RVU

85060 ................. Blood smear interpretation ...................................................................................................................................... 0.45

85095 ................. Bone marrow aspiration .......................................................................................................................................... 1.08

85102 ................. Bone marrow biopsy ................................................................................................................................................ 1.37

86078 ................. Physician blood bank service .................................................................................................................................. 0.94

88104 ................. Microscopic exam of cells ....................................................................................................................................... 0.56

88302 ................. Tissue exam by pathologist ..................................................................................................................................... 0.13

88304 ................. Tissue exam by pathologist ..................................................................................................................................... 0.22

88305 ................. Tissue exam by pathologist ..................................................................................................................................... 0.75

88307 ................. Tissue exam by pathologist ..................................................................................................................................... 1.59

88309 ................. Tissue exam by pathologist ..................................................................................................................................... 2.28

88325 ................. Comprehensive review of data ................................................................................................................................ 2.22

88331 ................. Pathology consult in surgery ................................................................................................................................... 1.19

90801 ................. Psychiatric interview ................................................................................................................................................ 2.19

90843 ................. Psychotherapy 20–30 min. ...................................................................................................................................... 1.10

90844 ................. Psychotherapy 45–50 min. ...................................................................................................................................... 1.72

90853 ................. Special group therapy ............................................................................................................................................. 0.43

90862 ................. Medication management ......................................................................................................................................... 0.95

90870 ................. Electroconvulsive therapy ........................................................................................................................................ 1.88

90935 ................. Hemodialysis, one evaluation .................................................................................................................................. 1.22

90937 ................. Hemodialysis, repeated eval. .................................................................................................................................. 2.11

90945 ................. Dialysis, one evaluation ........................................................................................................................................... 1.28

92004 ................. Eye exam, new patient ............................................................................................................................................ 1.61

92012 ................. Eye exam established pt ......................................................................................................................................... 0.82

92014 ................. Eye exam & treatment ............................................................................................................................................. 1.06

92083 ................. Visual field examination(s) ...................................................................................................................................... 0.50

92250 ................. Eye exam with photos ............................................................................................................................................. 0.44

92950 ................. Heart/lung resuscitation (cpr) .................................................................................................................................. 3.80

92960 ................. Heart electroconversion ........................................................................................................................................... 2.25

92982 ................. Coronary artery dilation ........................................................................................................................................... 10.98

93010 ................. Electrocardiogram report ......................................................................................................................................... 0.17

93015 ................. Cardiovascular stress test ....................................................................................................................................... 0.75

93224 ................. ECG monitor/report, 24 hrs ..................................................................................................................................... 0.52

93307 ................. Echo exam of heart ................................................................................................................................................. 0.78

93320 ................. Doppler echo exam, heart ....................................................................................................................................... 0.38

93510 ................. Left heart catheterization ......................................................................................................................................... 4.33

93526 ................. Rt & Lt heart catheters ............................................................................................................................................ 5.99

93620 ................. Electrophysiology evaluation ................................................................................................................................... 11.59

93651 ................. Ablate heart dysrhythm focus .................................................................................................................................. 16.25

93732 ................. Analyze pacemaker system .................................................................................................................................... 0.92

93736 ................. Telephone analysis, pacemaker .............................................................................................................................. 0.15

93880 ................. Extracranial study .................................................................................................................................................... 0.60

94010 ................. Breathing capacity test ............................................................................................................................................ 0.17

94060 ................. Evaluation of wheezing ........................................................................................................................................... 0.31

94160 ................. Vital capacity screening ........................................................................................................................................... 0.18

94656 ................. Initial ventilator mgmt .............................................................................................................................................. 1.22

94657 ................. Cont. ventilator ........................................................................................................................................................ 0.83

95819 ................. Electroencephalogram (EEG) .................................................................................................................................. 1.08

95860 ................. Muscle test, one limb .............................................................................................................................................. 0.96

95861 ................. Muscle test, two limbs ............................................................................................................................................. 1.54

95900 ................. Motor nerve conduction test .................................................................................................................................... 0.42

95904 ................. Sense nerve conduction test ................................................................................................................................... 0.34

95935 ................. ‘‘H’’ or ‘‘F’’ reflex study ............................................................................................................................................ 0.59

97110 ................. Therapeutic exercises ............................................................................................................................................. 0.45

99201 ................. Office/outpatient visit, new ...................................................................................................................................... 0.38

99202 ................. Office/outpatient visit, new ...................................................................................................................................... 0.75

99203 ................. Office/outpatient visit, new ...................................................................................................................................... 1.14

99204 ................. Office/outpatient visit, new ...................................................................................................................................... 1.71

99205 ................. Office/outpatient visit, new ...................................................................................................................................... 2.28

99211 ................. Office/outpatient visit, est ........................................................................................................................................ 0.17

99212 ................. Office/outpatient visit, est ........................................................................................................................................ 0.38

99213 ................. Office/outpatient visit, est ........................................................................................................................................ 0.55

99214 ................. Office/outpatient visit, est ........................................................................................................................................ 0.94

99215 ................. Office/outpatient visit, est ........................................................................................................................................ 1.51

99222 ................. Initial hospital care ................................................................................................................................................... 1.84

99223 ................. Initial hospital care ................................................................................................................................................... 2.57

99231 ................. Subsequent hospital care ........................................................................................................................................ 0.51

99232 ................. Subsequent hospital care ........................................................................................................................................ 0.88

99233 ................. Subsequent hospital care ........................................................................................................................................ 1.25

99238 ................. Hospital discharge day ............................................................................................................................................ 1.06

99241 ................. Office consultation ................................................................................................................................................... 0.54

99242 ................. Office consultation ................................................................................................................................................... 1.11

99243 ................. Office consultation ................................................................................................................................................... 1.47
54 Federal Register / Vol. 60, No. 1 / Tuesday, January 3, 1995 / Rules and Regulations

ADDENDUM G.—REFERENCE SET WITH 1995 WORK RVUS—Continued

HCPCS1 Description Work RVU

99244 ................. Office consultation ................................................................................................................................................... 2.23

99245 ................. Office consultation ................................................................................................................................................... 2.96

99252 ................. Initial inpatient consult ............................................................................................................................................. 1.13

99253 ................. Initial inpatient consult ............................................................................................................................................. 1.56

99254 ................. Initial inpatient consult ............................................................................................................................................. 2.27

99255 ................. Initial inpatient consult ............................................................................................................................................. 3.14

99263 ................. Follow-up inpatient consult ...................................................................................................................................... 1.16

99282 ................. Emergency dept visit ............................................................................................................................................... 0.47

99283 ................. Emergency dept visit ............................................................................................................................................... 1.07

99284 ................. Emergency dept visit ............................................................................................................................................... 1.68

99285 ................. Emergency dept visit ............................................................................................................................................... 2.63

99291 ................. Critical care, first hour ............................................................................................................................................. 3.64

99292 ................. Critical care, addl 30 min ........................................................................................................................................ 1.84

99295 ................. Neonatal critical care ............................................................................................................................................... 16.03

99296 ................. Neonatal critical care ............................................................................................................................................... 7.40

99297 ................. Neonatal critical care ............................................................................................................................................... 3.84

99302 ................. Nursing facility care ................................................................................................................................................. 1.67

99311 ................. Nursing facility care, subseq ................................................................................................................................... 0.54

99353 ................. Home visit, estab patient ......................................................................................................................................... 1.48

99381 ................. Preventive visit, new, infant ..................................................................................................................................... 1.19

99382 ................. Preventive visit, new, age 1–4 ................................................................................................................................ 1.36

99383 ................. Preventive visit, new, age 5–11 .............................................................................................................................. 1.36

99384 ................. Preventive visit, new, 12–17 ................................................................................................................................... 1.53

99385 ................. Preventive visit, new, 18–39 ................................................................................................................................... 1.53

99386 ................. Preventive visit, new, 40–64 ................................................................................................................................... 1.88

99387 ................. Preventive visit, new, 65 & over .............................................................................................................................. 2.06

99391 ................. Preventive visit, est, infant ...................................................................................................................................... 1.02

99392 ................. Preventive visit, est, age 1–4 .................................................................................................................................. 1.19

99393 ................. Preventive visit, est, age 5–11 ................................................................................................................................ 1.19

99394 ................. Preventive visit, est, 12–17 ..................................................................................................................................... 1.36

99431 ................. Initial care, normal newborn .................................................................................................................................... 1.17

99433 ................. Normal newborn care, hospital ............................................................................................................................... 0.62

99440 ................. Newborn resuscitation ............................................................................................................................................. 2.93

1All numeric CPT HCPCS Copyright 1994 American Medical Association.

(Section 1848 of the Social Security Act (42

U.S.C. 1395w–4))

(Catalog of Federal Domestic Assistance

Program No. 93.774, Medicare—

Supplementary Medical Insurance Program)

Dated: December 22, 1994.

Neil J. Stillman,

Deputy Assistant Secretary for Information

Resources Management.

[FR Doc. 94–32286 Filed 12–29–94; 8:45 am]

BILLING CODE 4120–01–P

DEPARTMENT OF TRANSPORTATION

Federal Highway Administration

49 CFR Part 391

RIN 2125–AC50

Controlled Substances Testing;

Removal of Foreign Implementation

Date

AGENCY: Federal Highway

Administration (FHWA), DOT.

ACTION: Final rule; removal of

compliance date.

SUMMARY: The Federal Highway

Administration announces the removal

of the compliance date from regulations

governing drug testing of foreign-based

employees of foreign-domiciled motor

carriers. On February 15, 1994, the

FHWA published a notice of proposed

rulemaking which proposed to begin

controlled substances and alcohol

testing of foreign-based employees of

foreign-domiciled employers under 49

CFR part 382 on January 1, 1996. But 49

CFR part 391 requires foreign-based

employees of foreign-domiciled

employers to implement controlled

substances testing effective January 2,

1995. The removal of the compliance

date in part 391 is to allow completion

of the part 382 rulemaking process

initiated in compliance with the

Omnibus Transportation Employee

Testing Act of 1991. Also the delay will

allow negotiation with foreign

governments to continue in an orderly

and effective fashion.

EFFECTIVE DATE: This rule is effective

December 30, 1994.

FOR FURTHER INFORMATION CONTACT: For

information regarding program issues:

Mr. Ronald Finn, Office of Motor Carrier

Standards, (202) 366–0647, or for

information regarding legal issues: Mr.

David Sett, Office of the Chief Counsel,

(202) 366–0834, Federal Highway

Administration, Department of

Transportation, 400 Seventh Street,

SW., Washington, DC 20590. Office

hours are from 7:45 a.m. to 4:15 p.m.,

e.t., Monday through Friday, except

Federal holidays.

SUPPLEMENTARY INFORMATION: On

November 21, 1988, the FHWA, along

with certain other agencies within the

Department of Transportation (the

Department), adopted regulations

requiring pre-employment/use,

periodic, post-accident, reasonable

cause and random drug testing of

commercial motor vehicle drivers. The

FHWA rule applies to all covered

drivers while they are operating in the

United States, regardless of whether

they are based in a foreign country or

the United States. The rule provided,

however, that it would not apply to any

person for whom compliance would

violate the domestic laws or policies of

another country. The rule as originally

published further provided that in any

event it would not be effective until

January 1, 1990, with respect to any

person for whom a foreign government

contends that application of the rules

raises questions of compatibility with

that country’s laws or policies. See 53