| 2.
Technical Fees Excluded From Threshold
Calculations: |
| |
| The following
technical fees are excluded from the
threshold calculations. When a physician
reaches his or her threshold level
(beginning at $300,000 for GPs, $380,000
for all specialists), technical fee
payments will be discounted at the same
rate as the professional fees. |
| |
Diagnostic Radiology |
| |
|
|
| X001 -
X230 |
|
The
hospital components of the applicable
"X codes" are excluded from
threshold calculations. |
Diagnostic Ultrasound Nuclear
Medicine/Pulmonary Function Studies |
| |
|
|
| J101-J888 |
|
the
hospital components of the applicable
"J" codes |
| J301 |
|
the
technical components of the applicable
"J" codes |
| J304 |
|
the
technical components of the applicable
"J" codes |
| J324 |
|
the
technical components of the applicable
"J" codes |
| J327 |
|
the
technical components of the applicable
"J" codes |
| Y601-Y888 |
|
the
technical components of the applicable
"Y" codes |
| E450, E451 |
|
the
hospital components of the applicable
"E" codes |
Diagnostic and Therapeutic Procedures
|
| |
|
|
| G104 |
|
Diagnostic
Balance Tests, Positional testing with
ENG, technical component |
| G111 |
|
Dipyramidole
Thallium Stress test, technical component |
| G121 |
|
Impedance
plethysmography, technical component |
| G140 |
|
Evoked
potentials - two limbs, technical
component |
| G143 |
|
Cortical
evoked audiometry, technical component |
| G146 |
|
Brain
stem evoked response - simple, technical
component |
| G149 |
|
Visual
Evoked response - simple, technical
component |
| G152 |
|
Visual
Evoked response - threshold, technical
component |
| G167 |
|
Hydrogen
breath test, technical component |
| G181 |
|
Dual
chamber reprogramming, technical
component |
| G209 |
|
Skin
testing, technical component |
| G284 |
|
Single
chamber reprogramming, technical
component |
| G308 |
|
Pacemaker
pulse wave analysis, technical component |
| G310 |
|
ECG,
technical component |
| G311
|
|
ECG
telephone transmitted, technical
component |
| G315 |
|
Stress
testing, technical component |
| G316 |
|
Stress
testing vector, technical component |
| G414 |
|
EEG,
technical component |
| G416 |
|
EEG
add on - activating or sleep inducing
drugs/or sleep deprivation |
| G434 |
|
Manual
Impedence Testing, technical component |
| G440 |
|
Pure
tone threshold audiometry with or without
bone conduction, technical component |
| G441 |
|
Pure
tone threshold audiometry (with or
without bone conduction) and speech
reception threshold and/or speech
discrimination scores, technical
component |
| G442 |
|
Automatic
impedance audiometry, technical component |
| G443 |
|
Advanced
testing per test, technical component |
| G445 |
|
Hearing
aid re-evaluation, technical component |
| G447 |
|
Hearing
aid evaluation, technical component |
| G448 |
|
Sound
field audiometry (infants and children),
technical component |
| G451 |
|
Balance
test caloric testing with ENG, technical
component |
| G455 |
|
Electromyography
Schedule A, technical component |
| G466 |
|
Electromyography
Schedule B, technical component |
| G491 |
|
Thermography,
technical component |
| G505 |
|
Phonocardiogram,
technical component |
| G506 |
|
Phonocardiogram,
add on for pharmacologic intervention |
| G508 |
|
Apex
cardiogram, technical component |
| G519 |
|
Phlebography,
technical component |
| G540 |
|
Videotape
recording of clinical signs with EEG,
technical component |
| G542 |
|
Radiotelemetry
EEG, technical component |
| G544 |
|
Polygraphic
recordings of parameters in addition to
EEG |
| G554 |
|
Ambulatory
EEG monitoring, technical component |
| G560 |
|
Echocardiography
complete study 1 dim., technical
component |
| G566 |
|
Echocardiography
complete study 2 dim., technical
component |
| G570 |
|
Echocardiography
complete study 1 & 2 dim., technical
component |
| G574 |
|
Echocardiography,
limited study 1 or 2 dim., technical
component |
| G576
|
|
Cardiac
colour Doppler in conjunction with
echocard., technical component |
| G577 |
|
Cardiac
colour Doppler study in conjunction with
echocard., technical component |
| G651 |
|
Holter
Monitoring Level 1 - recording, technical
component |
| G652 |
|
Holter
Monitoring Level 1 - scanning, technical
component |
| G654 |
|
Holter
Monitoring Level 2 - recording, technical
component |
| G655 |
|
Holter
Monitoring Level 2 - scanning, technical
component |
| G661 |
|
Event
recorder, technical component |
| G670 |
|
Sleep
studies - Level 1, technical component |
| G673 |
|
Sleep
studies - Level 2, technical component |
| G676 |
|
Sleep
studies - Level 3, technical component |
| G679 |
|
Multiple
Sleep Latency Test, technical component |
| G815 |
|
Electrocochleography,
technical component |
| G850 |
|
Colour
vision detailed assessment, technical
component |
| G851 |
|
Dark
adaptation curve, technical component |
| G852 |
|
Electro-retinography,
technical component |
| G853 |
|
Fluorescein
angiography, technical component |
| G854 |
|
Fluorescein
angioscopy, technical component |
| G855 |
|
Hess
screen examination, technical component |
| G856 |
|
Tonography,
with or without water, technical
component |
| G857 |
|
Visual
fields - kinetic, technical component |
| G858 |
|
Visual
fields - static perimetry, technical
component |
| |
|
|
3. Additional
List Of Codes |
| |
|
|
| E542 |
|
When
performed outside hospital |
| E545 |
|
When
performed outside hospital |
| E584 |
|
Application
of plaster cast outside hospital |
| E746 |
|
When
performed outside hospital |
| E749 |
|
When
performed outside hospital |
| E870 |
|
Cost
of laminaria tent, when supplied by the
physician |
| K018 |
|
Sexual
assault examination for investigation of
alleged sexual assault
and documentation - female |
| K021 |
|
Sexual
assault examination for investigation of
alleged sexual assault
and documentation - male |