B. Physician
Fee Codes Which Are Now Included In Threshold Fee
ReductionsThe following fee codes
were formerly excluded from threshold fee
reductions (see Bulletin 4291), but will be
included effective April 1, 1998.
| 1.
Professional
Fees Included in Threshold Calculations: |
| |
|
|
|
|
| Abortion |
|
|
- |
S752,
S785 |
| All Transplants |
- |
kidney |
- |
S435, E769, S434,
E771, S436, E753, S437, E762 |
| |
- |
bone |
- |
Z425, Z426 |
| |
- |
heart |
- |
R870, R872, R874,
M157 |
| |
- |
cornea |
- |
E108, E121, E122 |
| |
- |
lung |
- |
M155 |
| |
- |
liver |
- |
S274, S294, S295,
E765 |
| Angioplasty |
|
|
- |
Z434, G262 |
| Audiology
Professional Fees |
- |
G525, G526, G529,
G450, G530, G527, G531, G446, G141, G142,
G144, G145, G816, G105, G533, G454, G191,
G108 |
| Dialysis |
|
|
- |
G326, G332, G333 |
| Cardiac Bypass
Surgery |
|
- |
R742, R743, E654,
E652 |
| Cataract Surgery |
|
- |
E140, E141, E950,
E138, E143, E144, E145, E146 |
Laser Surgery for
extensive
pelvic disease |
- |
Z737 |
| Laser Treatment
Port Wine Stains |
- |
R051 |
| Moh's Surgery |
|
|
- |
R081, E524 |
| Obstetrics |
|
|
- |
P006, P009, P018,
P020, P041 |
| Pacemakers |
|
|
- |
Z444, Z445, Z435,
Z436, Z433, R751, R752, Z412, R753,Z415 |
| Radiation Oncology |
|
- |
X301, X302, X304,
X305, X306, X322, X323, X334, X324, X325,
X326, X327, X335, X336, X328, X329, X330,
X332, X333 |
| Retinal Surgery |
|
|
- |
E151, E152, E153,
E161, E154, E155, E159, E158, E162, E949,
E952 |
| |
|
| Note: |
Surgical procedures listed
above apply to services coded with A
suffix, that is, to the surgeon
performing the procedure. |
| 2.
Technical
Fees Included in Threshold Calculations: |
| |
| Diagnostic
and Therapeutic Procedures |
| G467 |
Miscellaneous
therapeutic procedures |
|