CMS Confirms Medicare Fee Schedule Errors; Corrections Planned
The 2007 Medicare Physician Fee Schedule Final Rule erroneously assigned zero physician work values to several CPT codes (see table below).
Centers for Medicare and Medicaid Services (CMS) staff agree that this was an error and have indicated that the mistake should be fixed within the next two weeks. Although CMS will not reprint Addendum B of the 2007 Medicare Physician Fee Schedule Final Rule, they will update the Excel version of the spreadsheet, which is posted on the CMS Web site. CMS also has made carriers aware of this problem.
If you have any questions regarding this issue, please contact the ACR Economics Department at (800) 227-5463, ext. 4043, or your Medicare carrier.
| CPT Code | Descriptor |
| 70555 | Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing |
| 76998 | Ultrasonic guidance, intraoperative |
| 77013 | Computerized tomography guidance for, and monitoring of, parenchymal tissue ablation |
| 77022 | Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation |
| 77055 | Mammography; unilateral |
| 93624 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia |
| 96020 | Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or psychologist, with review of test results and report |
Link: www.cms.hhs.gov