NOTICES
Medical Assistance Program Fee Schedule Revisions; 1998 HCPCS Updates
[28 Pa.B. 1464] The Department of Public Welfare announces effective January 1, 1998, that changes have been made to the Medical Assistance Program Fee Schedule as a result of implementing the 1998 updates to the Health Care Financing Administration Common Procedure Coding System (HCPCS). The Federally required updates add new procedure codes which are compensable beginning January 1, 1998.
Additions effective January 1, 1998, for Provider Types 05, 19
Type of Service (TOS) Procedure Code AM L 1843 Changes to the Medical Assistance Program Fee Schedule for Provider Types 01, 03, 04, 07,10, 11, 12, 15, 16, 17, 20, 30, 43, 49 and 50:
Additions effective January 1, 1998
TOS Procedure TOS Procedure TOS Procedure TOS Procedure TOS Procedure Code Code Code Code Code 20,27,40 11055 86 86704 86,AR 87798 30,60 99348 - - 20,27,40 11056 86 86705 89,AR 88141 86 84520 - - 20,27,40 11057 86 86706 60 90748 86,AR 87536 - - 20,27 17003 86 86707 25,27,40 92997 86,AR 87797 - - 10,25,27,40 56349 86 86708 25,27,40 92998 30,60 99350 - - 10,20,27,40 67027 86 86803 25,27,40 93530 60 W9960 - - 10,20,27,40 57308 86 86804 25,27,40 93531 86 80049 - - 86 83735 86 87340 25,27,40 93532 86 80051 - - 86 87380 30,60 99349 25,27,40 93533 86 80058 - - 86 87390 30,60 99347 86 80054 - - - - End--Dated May 29, 1998--The procedure codes being deleted from the fee schedule as a result of those updates will not be compensable for services provided after May 29, 1998.
Proce- Proce- Proce- Proce- Proce- TOS dure TOS dure TOS dure TOS dure TOS dure Code Code Code Code Code 20,27 17100 60 A2000 86 80007 86 86295 20 G0051 20,27 17101 86 G0058 86 80008 86 86296 20 G0052 20,27 17102 86 G0059 86 80009 86 86299 20 G0053 20,27 17104 86 G0060 86 80010 86 86302 54, RD,57 G0062 20,27 17105 60,ES,PT Q0103 86 80011 86 86303 RD, 57, 54 G0063 20,40,27 17200 60,ES,PT Q0104 86 80012 86 86306 86 W1866 20,40 17201 60,ES,OT Q0109 86 80016 86 86311 20,27,40 11050 53,58,RN 78726 60,ES,OT Q0110 86 80018 86 87178 53,58,RN 78727 20,40,27 11051 86 80019 86,AR 87179 86 80002 OT H5300 86 86287 89 88151 86 80003 20,40,27 11052 86 86289 89 88157 86 80004 20,27 17001 86 86290 30, 60, 70 PS 99351 86 80005 20,27 17002 86 86291 30, 60, 70 PS 99352 86 80006 20,27 17010 86 86293 30, 60, 70 PS 99353 The fiscal note was prepared under section 612 of The Administrative Code of 1929 (71 P. S. § 232).
Price changes made to the Medical Assistance Fee Schedule are routinely included in carryforward budget estimates.
Contact Person
Interested persons are invited to submit written comments to this notice within 30 days of this publication. Comments should be sent to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120.
Persons with a disability may use the AT&T Relay Services by calling 1 (800) 654-5984 (TDD users) or 1 (800) 654-5988 (voice users). Persons who require another alternative should contact Thomas Vracarich at (717) 783-2800.
FEATHER O. HOUSTOUN,
SecretaryFiscal Note: 14-NOT-164. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 98-457. Filed for public inspection March 20, 1998, 9:00 a.m.]
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