WAIS Document Retrieval[Federal Register: September 8, 1998 (Volume 63, Number 173)]
[Proposed Rules]               
[Page 47651-47700]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr08se98-36]
 
[[pp. 47651-47700]] Medicare Program; Prospective Payment System for Hospital 
Outpatient Services

[[Continued from page 47650]]

[[Page 47650]]

31231...  T                   Nasal endoscopy, dx....        331       0.69     $36.24       $14.01        $7.25
31233...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               dx.
31235...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               dx.
31237...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               surg.
31238...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               surg.
31239...  T                   Nasal/sinus endoscopy,         333      17.24    $911.87      $464.20      $182.37
                               surg.
31240...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               surg.
31254...  T                   Revision of ethmoid            333      17.24    $911.87      $464.20      $182.37
                               sinus.
31255...  T                   Removal of ethmoid             333      17.24    $911.87      $464.20      $182.37
                               sinus.
31256...  T                   Exploration maxillary          333      17.24    $911.87      $464.20      $182.37
                               sinus.
31267...  T                   Endoscopy, maxillary           333      17.24    $911.87      $464.20      $182.37
                               sinus.
31276...  T                   Sinus surgical                 333      17.24    $911.87      $464.20      $182.37
                               endoscopy.
31287...  T                   Nasal/sinus endoscopy,         333      17.24    $911.87      $464.20      $182.37
                               surg.
31288...  T                   Nasal/sinus endoscopy,         333      17.24    $911.87      $464.20      $182.37
                               surg.
31290...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31291...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31292...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31293...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31294...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31299...  T                   Sinus surgery procedure        331       0.69     $36.24       $14.01        $7.25
31300...  T                   Removal of larynx              314      25.65  $1,356.54      $693.37      $271.31
                               lesion.
31320...  T                   Diagnostic incision            313      15.81    $836.45      $411.09      $167.29
                               larynx.
31360...  C                   Removal of larynx......  .........  .........  .........  ...........  ...........
31365...  C                   Removal of larynx......  .........  .........  .........  ...........  ...........
31367...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31368...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31370...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31375...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31380...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31382...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31390...  C                   Removal of larynx &      .........  .........  .........  ...........  ...........
                               pharynx.
31395...  C                   Reconstruct larynx &     .........  .........  .........  ...........  ...........
                               pharynx.
31400...  T                   Revision of larynx.....        314      25.65  $1,356.54      $693.37      $271.31
31420...  T                   Removal of epiglottis..        314      25.65  $1,356.54      $693.37      $271.31
31500...  S                   Insert emergency airway        947       4.07    $215.48      $109.61       $43.10
31502...  T                   Change of windpipe             470       2.22    $117.53       $54.92       $23.51
                               airway.
31505...  T                   Diagnostic laryngoscopy        331       0.69     $36.24       $14.01        $7.25
31510...  T                   Laryngoscopy with              332       9.74    $515.19      $244.98      $103.04
                               biopsy.
31511...  T                   Remove foreign body,           332       9.74    $515.19      $244.98      $103.04
                               larynx.
31512...  T                   Removal of larynx              332       9.74    $515.19      $244.98      $103.04
                               lesion.
31513...  T                   Injection into vocal           332       9.74    $515.19      $244.98      $103.04
                               cord.
31515...  T                   Laryngoscopy for               332       9.74    $515.19      $244.98      $103.04
                               aspiration.
31520...  T                   Diagnostic laryngoscopy        332       9.74    $515.19      $244.98      $103.04
31525...  T                   Diagnostic laryngoscopy        332       9.74    $515.19      $244.98      $103.04
31526...  T                   Diagnostic laryngoscopy        332       9.74    $515.19      $244.98      $103.04
31527...  T                   Laryngoscopy for               333      17.24    $911.87      $464.20      $182.37
                               treatment.
31528...  T                   Laryngoscopy and               332       9.74    $515.19      $244.98      $103.04
                               dilatation.
31529...  T                   Laryngoscopy and               332       9.74    $515.19      $244.98      $103.04
                               dilatation.
31530...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31531...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31535...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31536...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31540...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31541...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31560...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31561...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31570...  T                   Laryngoscopy with              333      17.24    $911.87      $464.20      $182.37
                               injection.
31571...  T                   Laryngoscopy with              333      17.24    $911.87      $464.20      $182.37
                               injection.
31575...  T                   Diagnostic laryngoscopy        331       0.69     $36.24       $14.01        $7.25
31576...  T                   Laryngoscopy with              332       9.74    $515.19      $244.98      $103.04
                               biopsy.
31577...  T                   Remove foreign body,           332       9.74    $515.19      $244.98      $103.04
                               larynx.
31578...  T                   Removal of larynx              332       9.74    $515.19      $244.98      $103.04
                               lesion.
31579...  T                   Diagnostic laryngoscopy        331       0.69     $36.24       $14.01        $7.25
31580...  C                   Revision of larynx.....  .........  .........  .........  ...........  ...........
31582...  C                   Revision of larynx.....  .........  .........  .........  ...........  ...........
31584...  C                   Repair of larynx         .........  .........  .........  ...........  ...........
                               fracture.
31585...  T                   Repair of larynx               207       1.70     $90.11       $31.64       $18.02
                               fracture.
31586...  T                   Repair of larynx               209       1.94    $102.84       $37.29       $20.57
                               fracture.
31587...  C                   Revision of larynx.....  .........  .........  .........  ...........  ...........
31588...  T                   Revision of larynx.....        314      25.65  $1,356.54      $693.37      $271.31
31590...  T                   Reinnervate larynx.....        314      25.65  $1,356.54      $693.37      $271.31
31595...  T                   Larynx nerve surgery...        313      15.81    $836.45      $411.09      $167.29
31599...  T                   Larynx surgery                 207       1.70     $90.11       $31.64       $18.02
                               procedure.
31600...  C                   Incision of windpipe...  .........  .........  .........  ...........  ...........
31601...  C                   Incision of windpipe...  .........  .........  .........  ...........  ...........

[[Page 47651]]

31603...  T                   Incision of windpipe...        311       1.43     $75.42       $20.57       $15.08
31605...  T                   Incision of windpipe...        311       1.43     $75.42       $20.57       $15.08
31610...  C                   Incision of windpipe...  .........  .........  .........  ...........  ...........
31611...  T                   Surgery/speech                 313      15.81    $836.45      $411.09      $167.29
                               prosthesis.
31612...  T                   Puncture/clear windpipe        312       7.26    $383.95      $178.31       $76.79
31613...  T                   Repair windpipe opening        313      15.81    $836.45      $411.09      $167.29
31614...  T                   Repair windpipe opening        313      15.81    $836.45      $411.09      $167.29
31615...  T                   Visualization of               336       7.44    $393.74      $197.98       $78.75
                               windpipe.
31622...  T                   Diagnostic bronchoscopy        336       7.44    $393.74      $197.98       $78.75
31625...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               biopsy.
31628...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               biopsy.
31629...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               biopsy.
31630...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               repair.
31631...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               dilation.
31635...  T                   Remove foreign body,           336       7.44    $393.74      $197.98       $78.75
                               airway.
31640...  T                   Bronchoscopy & remove          336       7.44    $393.74      $197.98       $78.75
                               lesion.
31641...  T                   Bronchoscopy, treat            336       7.44    $393.74      $197.98       $78.75
                               blockage.
31645...  T                   Bronchoscopy, clear            336       7.44    $393.74      $197.98       $78.75
                               airways.
31646...  T                   Bronchoscopy, reclear          336       7.44    $393.74      $197.98       $78.75
                               airways.
31656...  T                   Bronchoscopy, inject           336       7.44    $393.74      $197.98       $78.75
                               for xray.
31700...  T                   Insertion of airway            332       9.74    $515.19      $244.98      $103.04
                               catheter.
31708...  T                   Instill airway contrast        347       2.93    $154.75       $62.15       $30.95
                               dye.
31710...  T                   Insertion of airway            347       2.93    $154.75       $62.15       $30.95
                               catheter.
31715...  T                   Injection for bronchus         347       2.93    $154.75       $62.15       $30.95
                               x-ray.
31717...  T                   Bronchial brush biopsy.        332       9.74    $515.19      $244.98      $103.04
31720...  T                   Clearance of airways...        332       9.74    $515.19      $244.98      $103.04
31725...  C                   Clearance of airways...  .........  .........  .........  ...........  ...........
31730...  T                   Intro windpipe wire/           332       9.74    $515.19      $244.98      $103.04
                               tube.
31750...  T                   Repair of windpipe.....        314      25.65  $1,356.54      $693.37      $271.31
31755...  T                   Repair of windpipe.....        314      25.65  $1,356.54      $693.37      $271.31
31760...  C                   Repair of windpipe.....  .........  .........  .........  ...........  ...........
31766...  C                   Reconstruction of        .........  .........  .........  ...........  ...........
                               windpipe.
31770...  C                   Repair/graft of          .........  .........  .........  ...........  ...........
                               bronchus.
31775...  C                   Reconstruct bronchus...  .........  .........  .........  ...........  ...........
31780...  C                   Reconstruct windpipe...  .........  .........  .........  ...........  ...........
31781...  C                   Reconstruct windpipe...  .........  .........  .........  ...........  ...........
31785...  C                   Remove windpipe lesion.  .........  .........  .........  ...........  ...........
31786...  C                   Remove windpipe lesion.  .........  .........  .........  ...........  ...........
31800...  C                   Repair of windpipe       .........  .........  .........  ...........  ...........
                               injury.
31805...  C                   Repair of windpipe       .........  .........  .........  ...........  ...........
                               injury.
31820...  T                   Closure of windpipe            313      15.81    $836.45      $411.09      $167.29
                               lesion.
31825...  T                   Repair of windpipe             313      15.81    $836.45      $411.09      $167.29
                               defect.
31830...  T                   Revise windpipe scar...        313      15.81    $836.45      $411.09      $167.29
31899...  T                   Airways surgical               336       7.44    $393.74      $197.98       $78.75
                               procedure.
32000...  T                   Drainage of chest......        320       3.17    $167.49       $79.33       $33.50
32002...  T                   Treatment of collapsed         320       3.17    $167.49       $79.33       $33.50
                               lung.
32005...  C                   Treat lung lining        .........  .........  .........  ...........  ...........
                               chemically.
32020...  T                   Insertion of chest tube        320       3.17    $167.49       $79.33       $33.50
32035...  C                   Exploration of chest...  .........  .........  .........  ...........  ...........
32036...  C                   Exploration of chest...  .........  .........  .........  ...........  ...........
32095...  C                   Biopsy through chest     .........  .........  .........  ...........  ...........
                               wall.
32100...  C                   Exploration/biopsy of    .........  .........  .........  ...........  ...........
                               chest.
32110...  C                   Explore/repair chest...  .........  .........  .........  ...........  ...........
32120...  C                   Re-exploration of chest  .........  .........  .........  ...........  ...........
32124...  C                   Explore chest, free      .........  .........  .........  ...........  ...........
                               adhesions.
32140...  C                   Removal of lung          .........  .........  .........  ...........  ...........
                               lesion(s).
32141...  C                   Remove/treat lung        .........  .........  .........  ...........  ...........
                               lesions.
32150...  C                   Removal of lung          .........  .........  .........  ...........  ...........
                               lesion(s).
32151...  C                   Remove lung foreign      .........  .........  .........  ...........  ...........
                               body.
32160...  C                   Open chest heart         .........  .........  .........  ...........  ...........
                               massage.
32200...  C                   Open drainage, lung      .........  .........  .........  ...........  ...........
                               lesion.
32201...  C                   Percut drainage, lung    .........  .........  .........  ...........  ...........
                               lesion.
32215...  C                   Treat chest lining.....  .........  .........  .........  ...........  ...........
32220...  C                   Release of lung........  .........  .........  .........  ...........  ...........
32225...  C                   Partial release of lung  .........  .........  .........  ...........  ...........
32310...  C                   Removal of chest lining  .........  .........  .........  ...........  ...........
32320...  C                   Free/remove chest        .........  .........  .........  ...........  ...........
                               lining.
32400...  T                   Needle biopsy chest            122       4.87    $257.60      $115.03       $51.52
                               lining.
32402...  C                   Open biopsy chest        .........  .........  .........  ...........  ...........
                               lining.
32405...  T                   Biopsy, lung or                122       4.87    $257.60      $115.03       $51.52
                               mediastinum.
32420...  T                   Puncture/clear lung....        320       3.17    $167.49       $79.33       $33.50
32440...  C                   Removal of lung........  .........  .........  .........  ...........  ...........
32442...  C                   Sleeve pneumonectomy...  .........  .........  .........  ...........  ...........
32445...  C                   Removal of lung........  .........  .........  .........  ...........  ...........
32480...  C                   Partial removal of lung  .........  .........  .........  ...........  ...........

[[Page 47652]]

32482...  C                   Bilobectomy............  .........  .........  .........  ...........  ...........
32484...  C                   Segmentectomy..........  .........  .........  .........  ...........  ...........
32486...  C                   Sleeve lobectomy.......  .........  .........  .........  ...........  ...........
32488...  C                   Completion               .........  .........  .........  ...........  ...........
                               pneumonectomy.
32491...  C                   Lung volume reduction..  .........  .........  .........  ...........  ...........
32500...  C                   Partial removal of lung  .........  .........  .........  ...........  ...........
32501...  C                   Repair bronchus (add-    .........  .........  .........  ...........  ...........
                               on).
32520...  C                   Remove lung & revise     .........  .........  .........  ...........  ...........
                               chest.
32522...  C                   Remove lung & revise     .........  .........  .........  ...........  ...........
                               chest.
32525...  C                   Remove lung & revise     .........  .........  .........  ...........  ...........
                               chest.
32540...  C                   Removal of lung lesion.  .........  .........  .........  ...........  ...........
32601...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32602...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32603...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32604...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32605...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32606...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32650...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32651...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32652...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32653...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32654...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32655...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32656...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32657...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32658...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32659...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32660...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32661...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32662...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32663...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32664...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32665...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32800...  C                   Repair lung hernia.....  .........  .........  .........  ...........  ...........
32810...  C                   Close chest after        .........  .........  .........  ...........  ...........
                               drainage.
32815...  C                   Close bronchial fistula  .........  .........  .........  ...........  ...........
32820...  C                   Reconstruct injured      .........  .........  .........  ...........  ...........
                               chest.
32850...  C                   Donor pneumonectomy....  .........  .........  .........  ...........  ...........
32851...  C                   Lung transplant, single  .........  .........  .........  ...........  ...........
32852...  C                   Lung transplant w/       .........  .........  .........  ...........  ...........
                               bypass.
32853...  C                   Lung transplant, double  .........  .........  .........  ...........  ...........
32854...  C                   Lung transplant w/       .........  .........  .........  ...........  ...........
                               bypass.
32900...  C                   Removal of rib(s)......  .........  .........  .........  ...........  ...........
32905...  C                   Revise & repair chest    .........  .........  .........  ...........  ...........
                               wall.
32906...  C                   Revise & repair chest    .........  .........  .........  ...........  ...........
                               wall.
32940...  C                   Revision of lung.......  .........  .........  .........  ...........  ...........
32960...  T                   Therapeutic                    320       3.17    $167.49       $79.33       $33.50
                               pneumothorax.
32999...  T                   Chest surgery procedure        320       3.17    $167.49       $79.33       $33.50
33010...  T                   Drainage of heart sac..        320       3.17    $167.49       $79.33       $33.50
33011...  T                   Repeat drainage of             320       3.17    $167.49       $79.33       $33.50
                               heart sac.
33015...  C                   Incision of heart sac..  .........  .........  .........  ...........  ...........
33020...  C                   Incision of heart sac..  .........  .........  .........  ...........  ...........
33025...  C                   Incision of heart sac..  .........  .........  .........  ...........  ...........
33030...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               heart sac.
33031...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               heart sac.
33050...  C                   Removal of heart sac     .........  .........  .........  ...........  ...........
                               lesion.
33120...  C                   Removal of heart lesion  .........  .........  .........  ...........  ...........
33130...  C                   Removal of heart lesion  .........  .........  .........  ...........  ...........
33200...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33201...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33206...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.


