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.

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Renee Dustman

Renee Dustman

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.
Renee Dustman

About Has 423 Posts

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.

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