457 Medical Assistance Program fee schedule revisions; 1998 HCPCS updates

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 [phone] (TDD users) or 1 [phone] (voice users). Persons who require another alternative should contact Thomas Vracarich at [phone].

FEATHER O. HOUSTOUN,   
Secretary

   Fiscal 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.]