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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for ...

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CMS-1503-FC 163<br />

CPT Code Short Descriptor<br />

93010 Electrocardiogram report<br />

77334 Radiation treatment aid(s)<br />

92250 Eye exam with photos<br />

95810 Polysomnography, 4 or more<br />

77003 Fluoroguide <strong>for</strong> spine inject<br />

11056 Trim skin lesions, 2 to 4<br />

76700 Us exam, abdom, complete<br />

77290 Set radiation therapy field<br />

77300 Radiation therapy dose plan<br />

43235 Uppr gi endoscopy, diagnosis<br />

71275 Ct angiography, chest<br />

95900 Motor nerve conduction test<br />

31231 Nasal endoscopy, dx<br />

95165 Antigen therapy services<br />

94060 Evaluation of wheezing<br />

31575 Diagnostic laryngoscopy<br />

Comment: While some commenters agreed with CMS that the entire MPC list<br />

should be assessed to ensure that services are paid appropriately under the PFS, and<br />

supported the proposal that the AMA RUC review the services listed in Table 9, a<br />

number of other commenters expressed surprise that CMS seemed to be suggesting that<br />

any code on the MPC list could be classified as potentially misvalued. Many<br />

commenters noted that the MPC list of codes is considered the "gold standard" within the<br />

PFS and it is used to help judge the appropriate relativity of procedures across specialties.<br />

A number of commenters assured CMS that the codes on the MPC list have been<br />

thoroughly vetted and, there<strong>for</strong>e, these commenters took issue with CMS <strong>for</strong> implying<br />

that the codes could somehow be considered potentially misvalued. Specifically, one<br />

commenter noted, "[t]he assumption of the specialties, the RUC and CMS has been that<br />

these services are appropriately valued and well established." Another commenter<br />

expressed the concern as follows: "[c]hallenging the rank order of the MPC list

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