DEPARTMENT OF
PUBLIC WELFAREMedical Assistance Program Fee Schedule Procedure Code Changes for Renal Dialysis Services [35 Pa.B. 6467] The Department of Public Welfare (Department) announces several changes to the Medical Assistance (MA) Program Fee Schedule for renal dialysis services.
Fee Schedule Revisions
Effective with dates of service on or after November 1, 2005, local procedure codes W0918--W0926, W0928, W0929, W0982 are being end-dated. Except as set forth as follows, these local procedure codes are being replaced with National procedure codes.
Local procedure code W0927 titled ''Water Softener, Monthly Rental'' is being end-dated and not replaced with a National procedure code because no claims have been submitted using this procedure code from January 1, 2001, to September 20, 2005. The Department is not cross walking W0927 to a National procedure code.
A Medical Assistance Bulletin will be issued to physicians and renal dialysis centers setting forth the local procedure codes that are being end-dated and, if applicable, the National procedure codes that are replacing them.
Services rendered on or after November 1, 2005, must be billed using the National procedure code.
Fiscal Impact
The conversion from local to National procedure codes is anticipated to be budget neutral; therefore, these changes will have no fiscal impact.
Public Comment
Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revisions to the notice.
Persons with a disability who require an auxiliary aid or service may submit comments using the AT&T Relay Services at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
ESTELLE B. RICHMAN,
SecretaryFiscal Note: 14-NOT-449. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 05-2179. Filed for public inspection November 23, 2005, 9:00 a.m.]
