NOTICES
DEPARTMENT OF PUBLIC WELFARE
Medical Assistance Program Fee Schedule Revisions; 1999/2000 HCPCS Updates
[30 Pa.B. 6660] The Department of Public Welfare announces that effective January 1, 2000, changes have been made to the Medical Assistance Program Fee Schedule as a result of implementing the 1999 and 2000 updates to the Health Care Financing Administration Common Procedure Coding System (HCPCS). The update contains code changes required by the Health Care Financing Administration and other codes added to the Fee Schedule to enable providers to bill in accordance with current standards of practice. The new procedure codes are compensable beginning January 1, 2000. Fees for the new procedure codes will be published in a Medical Assistance Bulletin that will be issued to all providers.
Changes to the Medical Assistance Program Fee Schedule for Provider Types 01, 03, 04, 05, 07,
10, 11, 12, 15, 16, 17, 19, 20, 23, 30, 43, 49 and 50.Additions Effective January 1, 2000
Procedure Procedure Procedure Procedure Procedure TOS Code TOS Code TOS Code TOS Code TOS Code AE A4280 AE A4381 AE A4394 AE, 9P A7007 40 D9241 AE A4369 AE A4382 AE A4395 AE, 9P A7008 9R E0779 AE A4370 AE A4383 AE A5200 AE A7009 9R E0780 AE A4371 AE A4384 AE A6200 AE A7010 9P E0785 AE A4372 AE A4385 AE A6201 AE A7011 9R E1390 AE A4373 AE A4386 AE A6202 AE A7012 60, AK, AL G0108 AE A4374 AE A4387 AE, 9P A7000 AE A7013 60, AK, AL G0109 AE A4375 AE A4388 AE, 9P A7001 AE A7014 9P K0458 AE A4376 AE A4389 AE A7002 AE A7015 9P K0459 AE A4377 AE A4390 AE A7003 AE A7016 9P, 9R K0531 AE A4378 AE A4391 AE, 9P A7004 AE, 9P A7017 AM L1690 AE A4379 AE A4392 AE A7005 20, 27 D7471 AM L1847 AE A4380 AE A4393 AE A7006 20, 27 D7871 AM L5968 AM L5975 10, 20, 40 33282 10, 20, 27, 40 44202 10, 20, 27, 40 54692 25, 27 62318 AM L5988 10, 20, 40 33284 10, 20, 27, 40 44970 10, 20, 27, 40 55550 25, 27 62319 AM L6693 10, 20, 40 33410 10, 20, 27, 40 47560 10, 20, 40 57107 25 64470 AM L8015 20, 40 33968 10, 20, 27, 40 47561 10, 20, 40 57109 25 64472 AM L8035 10, 20, 40 35682 10, 20, 27, 40 47562 10, 20, 40 58550 25 64475 10, 20, 40 13102 10, 20, 40 35683 10, 20, 27, 40 47563 10, 20, 47, 40 58551 25 64476 10, 20, 40 13122 25 36521 10, 20, 27, 40 47564 25, 40 58555 25 64479 10, 20, 40 13133 25 36550 10, 20, 27, 40 47570 25, 27, 40 58558 25 64480 10, 20, 40 13153 10, 20, 40 36819 10, 20, 27, 40 49320 10, 20, 27, 40 58559 25 64483 10, 20, 40 15001 10, 20, 27, 40 36831 10, 20, 27, 40 49321 10, 20, 27, 40 58560 25 64484 10, 20, 40 15351 10, 20, 27, 40 36833 10, 20, 27, 40 49322 10, 20, 27, 40 58561 20, 40 64626 10, 20, 40 15401 10, 20, 27, 40 38120 10, 20, 27, 40 49323 10, 20, 27, 40 58562 20, 40 64627 20 20979 10, 20, 27, 40 38570 10, 20, 27, 40 49650 10, 20, 27, 40 58563 20, 40 67220 10, 20, 27, 40 22318 10, 20, 27, 40 38571 10, 20, 27, 40 49651 10, 20, 27, 40 58660 54, 57, RD 73542 10, 20, 27, 40 22319 10, 20, 27, 40 38572 10, 20, 27, 40 50541 10, 20, 27, 40 58665 54, 57, RD 76005 25 27096 10, 20, 40 39560 10, 20, 27, 40 50544 10, 20, 27, 40 58661 51 77427 20, 27, 40 27347 10, 20, 40 39561 10, 20, 27, 40 50546 10, 20, 27, 40 58662 53, 58, RN 78020 20, 27, 40 28289 10, 20, 27, 40 43280 10, 20, 27, 40 50547 10, 20, 27, 40 58670 53, 58, RN 78206 25, 40 31623 10, 20, 27, 40 43651 10, 20, 27, 40 50548 10, 20, 27, 40 58671 53, 58, RN 78456 25, 40 31624 10, 20, 27, 40 43652 10, 20, 27, 40 50945 10, 20, 27, 40 58673 53, 58, RN 78494 25, 40 31643 10, 20, 27, 40 43653 10, 20, 27, 40 51990 10, 20, 27, 40 61862 53, 58, RN 78496 25, 40 32997 10, 20, 27, 40 44200 10, 20, 27, 40 51992 25, 27 62310 53, 58, RN 78588 10, 20, 40 33140 10, 20, 27, 40 44201 10, 20, 27, 40 54690 25, 27 62311 86 80048 86 80053 86 83893 86 84376 86 88166 60 90660 86 80069 86 83897 86 84377 86 88167 80 94621 86 80074 86 83901 86 84378 86 88249 AY, AZ 94621 86 80076 86 83903 86 84379 86 88264 60 95970 86 82127 86 83904 86 85046 60 90378 60 95972 86 82726 86 83905 86 88153 60 90657 60 95973 86 83021 86 83906 86 88154 60 90658 60 95974 86 83716 86 83919 86 88165 60 90659 60 95975 86 83891 86 84154 End--Dated January 31, 2001
Procedure codes being deleted from the fee schedule as a result of those updates
and which will not be compensable for services provided after January 31, 2001
Procedure Procedure Procedure Procedure Procedure TOS Code TOS Code TOS Code TOS Code TOS Code 20, 27 D7470 AE K0137 9P K0171 9P K0177 9P K0191 40 D9240 AE K0138 9P K0172 9P K0178 9P K0192 9R E1400 AE K0139 9P K0173 9P K0179 9R K0193 9R E1401 9P K0168 9P K0174 9P K0180 9R K0194 9R E1402 9P K0169 9P K0175 9P K0181 AE K0277 9R E1403 9P K0170 9P K0176 9P K0190 AE K0278 AE K0279 AE K0432 10, 20, 27, 40 56304 10, 20, 40 56324 10, 20, 40 61855 9R K0284 AE K0433 10, 20, 27, 40 56305 10, 20, 27, 40 56340 10, 20, 40 61865 AE K0419 AE K0434 10, 20, 27, 40 56306 10, 20, 27, 40 56341 25, 27 62274 AE K0420 AE K0435 10, 20, 27, 40 56307 10, 20, 27, 40 56342 25 62275 AE K0421 AE K0436 10, 20, 27, 40 56308 10, 20, 27, 40 56343 25, 27 62276 AE K0422 AE K0437 10, 20, 27, 40 56309 10, 20, 27, 40 56349 25, 27 62277 AE K0423 20, 27, 40 13300 10, 20, 27, 40 56311 25, 27, 40 56350 25, 27 62278 AE K0424 20, 27, 40 15580 10, 20, 40 56312 10, 20, 27, 40 56351 25, 27, 40 62279 AE K0425 20, 27, 40 15625 10, 20, 40 56313 10, 20, 27, 40 56352 25, 27 62288 AE K0426 10, 20, 27, 40 33242 10, 20, 27, 40 56315 10, 20, 27, 40 56353 25, 27 62289 AE K0427 10, 20, 27, 40 33247 10, 20, 27, 40 56316 10, 20, 27, 40 56354 25, 27 62298 AE K0428 10, 20, 27, 40 56300 10, 20, 27, 40 56317 10, 20, 27, 40 56355 25, 27 64440 AE K0429 10, 20, 27, 40 56301 10, 20, 27, 40 56320 10, 20, 27, 40 56356 25, 27 64441 AE K0430 10, 20, 27, 40 56302 10, 20, 40 56322 10, 20, 27, 40 56362 25, 27 64442 AE K0431 10, 20, 27, 40 56303 10, 20, 40 56323 10, 20, 27, 40 56363 25, 27 64443 51 74419 51 77430 86 80058 86 80092 60 90745 51 77420 86 80049 86 80059 86 86588 51 77425 86 80054 86 80091 60 90592 The fiscal note was prepared under provision of 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. Any comments received will be considered for subsequent Fee Schedule updates.
Persons with a disability may use the AT&T Relay Services by calling (800) 654-5984 (TDD users) or (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-265. (1) General Fund; (2) Implementing Year 2000-01 is $4,675,000; (3) 1st Succeeding Year 2001-02 is $2,801,000; 2nd Succeeding Year 2002-03 is $2,785,000; 3rd Succeeding Year 2003-04 is $2,785,000; 4th Succeeding Year 2004-05 is $2,785,000; 5th Succeeding Year 2005-06 is $2,785,000; (4) 1999-00 Program--$622,669,000; 1998-99 Program--$695,935,000; 1997-98 Program--$662,740,000; (7) Medical Assistance--Outpatient; (8) recommends adoption. These changes are retroactive to January 1, 2000. Funds are available in the budget for these changes.
[Pa.B. Doc. No. 00-2227. Filed for public inspection December 22, 2000, 9:00 a.m.]
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