Show Federal Register Addendum AA

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ADDENDUM AA.--FINAL ASC COVERED SURGICAL PROCEDURES FOR CY 2009
(INCLUDING SURGICAL PROCEDURES FOR WHICH PAYMENT IS PACKAGED)

HCPC codes	Short descriptor	Subject to Multiple Procedure Discounting	Comment Indicator	Payment Indicator	CY 2009 Second Year Transition Payment Weight	CY 2009 Second Year Transition payment
21550	Biopsy of neck/chest	Y		G2	15.5016	$641.66
21920	Biopsy soft tissue of back	Y		P3	3.5549	$147.15
21925	Biopsy soft tissue of back	Y		A2	15.9027	$658.26
23065	Biopsy shoulder tissues	Y		P3	2.4572	$101.71
23066	Biopsy shoulder tissues	Y		A2	15.9027	$658.26
23100	Biopsy of shoulder joint	Y		A2	15.8725	$657.01
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Addendum DD1 -- ASC Payment Indicators for CY 2009 ADDENDUM DD2.—OPPS/ASC COMMENT INDICATORS FOR CY 2009

"NOTE 1: The Medicare program payment is 80 percent of the total payment amount and beneficiary coinsurance is 20 percent of the total payment amount, except for screening flexible sigmoidoscopies and screening colonoscopies for which the program payment is 75 percent and the beneficiary coinsurance is 25 percent."

"NOTE 2: Payment indicators for ""office-based"" procedures (P2, P3) are based on a comparison of the final rates according to the ASC standard ratesetting methodology and the MPFS. Under current law, the MPFS payment rates will have a negative update for CY 2010. For a discussion of those rates, we refer readers to the CY 2010 MPFS final rule."

"*: Asterisked codes(*) indicate that the procedure’s ""office-based,"" designation is temporary because we have insufficient claims data. We will reconsider this designation when new claims data become available." << Back