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
	Code		Code		Code		Code		Code
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
	Code		Code		Code		Code		Code
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 [phone] (TDD users) or [phone] (voice users). Persons who require another alternative should contact Thomas Vracarich at [phone].

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.]