165 Medical Assistance program fee schedule revisions; 1999 HCPCS updates  

  • DEPARTMENT OF PUBLIC WELFARE

    Medical Assistance Program Fee Schedule Revisions; 1999 HCPCS Updates

    [29 Pa.B. 616]

       The Department of Public Welfare announces effective January 1, 1999, that changes have been made to the Medical Assistance Program Fee Schedule as a result of implementing the 1999 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, 1999.

    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, 1999

    TOS Procedure TOS Procedure TOS Procedure TOS Procedure TOS Procedure
    CodeCodeCodeCodeCode
    AE A4614 86 82139 60 90291 60 90393 60 90675
    9P, 9R K0456 86 82247 60 90296 60 90396 60 90676
    9P, 9R K0457 86 82248 60 90371 60 90585 60 90680
    AM L8195 86 82731 60 90375 60 90632 60 90690
    10, 20, 40 57106 86 88142 60 90376 60 90633 60 90691
    10, 20, 40 57111 86 88164 60 90379 60 90634 60 90692
    10, 20, 40 57112 60 90281 60 90384 60 90645 60 90693
    25 69990 60 90283 60 90385 60 90646 25 95970
    RD, 54, 57 76977 60 90287 60 90386 60 90647 25 95971
    86 82136 60 90288 60 90389 60 90648 60, PT 97140

    End--Dated March 31, 1999

    The procedure codes being deleted from the fee schedule as a result of those updates will not be compensable for services provided after March 31, 1999.

    TOS Procedure TOS Procedure TOS Procedure TOS Procedure TOS Procedure
    CodeCodeCodeCodeCode
    AM, 55 L4390 20 61712 86 82130 60 90714 60, PT 97122
    10, 20, 27, 40 16040 25 63690 86 82250 60 90726 60 97250
    10, 20, 27, 40 16041 25 63691 86 83717 60 90728 60 97260
    10, 20, 40 16042 20, 27, 40 64830 86, 89 88156 60 90730 60 97261
    10, 20, 27, 40 57108 54, 57, RD 71038 86 88250 60 90737
    10, 20, 40 61106 54, 57, RD 74405 86 88260 60 90741
    10, 20, 40 61130 53, 58, RN 78017 60 90711 60 90742

       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 carry forward 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 (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,   
    Secretary

       Fiscal Note: 14-NOT-190. No fiscal impact; (8) recommends adoption.

    [Pa.B. Doc. No. 99-165. Filed for public inspection January 29, 1999, 9:00 a.m.]

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