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.