April Update to 2014 MPFSDB

The April update to the 2014 Medicare Physician Fee Schedule Database (MPFSDB) implements descriptor corrections for HCPCS Level II codes G0416-G0419; relative value unit (RVU) changes for CPT® code 77293; one new HCPCS Level II code for documentation of the medical indication for reasons of elective delivery or early induction of pregnancy; and indicator corrections to a long list of imaging codes.
Short Description Corrections
The following code descriptor changes are effective January 1, 2014:

Code Old Short Description Revised Short Description
G0416 Sat biopsy prostate 1-20 spc Biopsy prostate 1-20 spc
G0417 Sat biopsy prostate 21-40 Biopsy prostate 21-40
G0418 Sat biopsy prostate 41-60 Biopsy prostate 41-60
G0419 Sat biopsy prostate >60 Biopsy prostate: >60

RVU Update for 77293
The following table shows the adjustment to non-facility physician expense RVUs for CPT® code 77293.

Code Modifier Status Short Description Non-facility PE RVUs Facility PE RVUs Global Effective Date
77293 A Respirator motion mgmt simul 9.96 NA ZZZ Jan. 1 to March 31, 2014
77293 TC A Respirator motion mgmt simul 9.16 NA ZZZ Jan. 1 to March 31, 2014
77293 A Respirator motion mgmt simul 10.72 NA ZZZ Correction: April 1, 2014
77293 TC A Respirator motion mgmt simul 9.92 NA ZZZ Correction: April 1, 2014

New HCPCS Level II Code
New on the list is G9361 Medical indication for induction [Documentation of reason(s) for elective delivery or early induction (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes-premature, prolonged maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, malposition and malpresentation of fetus, late pregnancy, prior uterine surgery, or participation in clinical trial.
This code is effective January 1, 2014. Contractors will not search their files to retroactively pay claims, but will adjust claims brought to their attention.
TC Indicator Corrections
Finally, the April update to the MPFSDB includes indicator corrections, effective January 1, 2014, made to a long list of 70000-series diagnostic imaging codes, as well as two supervision codes, 93880 and 93882.
Please see MLN Matters® MM8664 for complete details.


Renee Dustman
Follow me
Latest posts by Renee Dustman (see all)

About Has 728 Posts

Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. Follow her on Twitter @dustman_aapc.

Comments are closed.