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ADDENDUM BB.—ASC COVERED ANCILLARY SERVICES INTEGRAL TO COVERED SURGICAL PROCEDURES FOR CY 2009
[Including Ancillary Services for Which Payment Is Packaged]

HCPCS Code	Short Descriptor	Comment Indicator	Payment Indicator	CY 2009 Second Year Transition Payment Weight	CY 2009 Second Year Transition Payment
70010	Contrast x-ray of brain		N1
70015	Contrast x-ray of brain		N1
70450	Ct head/brain w/o dye		Z2	2.8693	$118.77
70460	Ct head/brain w/dye		Z2	4.5435	$188.07
70470	Ct head/brain w/o & w/dye		Z2	5.033	$208.33
70551	Mri brain w/o dye		Z2	5.1377	$212.66
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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 radiology services (Z2, Z3) 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." << Back