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CPEP Recorders' Notes Files Data Collection and Analysis for Generating Procedure-Specific Practice Expense Estimates (HCFA Contract No. 500-95-0009) April 30, 1997 Preparedfor Health Care FinancingAdministration Office ofResearch Mail Stop C-3-1626 7500 SecurityBoulevard MD Baltimore, 21244-1850 Preparedby AbtAssociates Inc. 55 Wheeler Street MA Cambridge, 02138 Abt AbtAssociatesInc. CPEP Recorders' Notes Files Abt AbtAssociatesInc. Data Collection and 55WheelerStreet Analysis for Generating Cambridge,Massachusetts Procedure-Specific Practice 02138-1168 Expense Estimates (HCFA 617'^92-7100 telephone Contract No. 500-95-0009) 6\7^92-5219faaimile Hampden Square, Suite 500 4800MontgomeryLane Bethesda,Maryland April 30, 1997 20814-5341 301 913-0500 telephone 301 652-161^facHmile Preparedfor Health Care FinancingAdministration Office ofResearch 101 NorthWackerDrive Mail StopC-3-1626 Suite400 7500 SecuntyBoulevard Chicago, Illinois MD Baltimore, 21244-1850 60606-7301 312 332-3300telephone Preparedby 312 621-38Wfacsimile AbtAssociates Inc. 55 Wheeler Street MA Cambridge, 02138 to m m m m i i M i I I i April 30, 1997 Page 1 Notesfor CPEP CI CPEP-Level Notes Allin-officeprocedure-specificequipmentusageis basedonthelongesttimeofaclinicalstafftype in theprocedure (Gl)period, exceptwhere notedotherwise. 1 Whereoutofofficetimeoccursinthe Gl, itisforphonecallsbeingmadefromthephysicianofficeforthefollowing families: 104 108 112 (exceptcodes 17304, 17305, 17306, 17307,17310) 116 120 124 128 808 Forall otherfamiliesofcodeswhereoutofofficetimeoccursintheGl itiswhenthestaffaccompaniesthephysician tothehospital. 2 Timeswere generallyeitherprofiledusingthereferenceserviceoriginallyassignedtofamilyinwhichthecodesexist orprofiledfromscratchasabsolutevalues. Exceptions arenotedbelowwhere indicatedbythepanel. 3 "Equipmenttrays" weredevelopedandassignedtospecificcodes. Pleaseseeattachedappendixforlistofequipment containedineachoftheequipmentgroupings. 4 Forsome000 and 1 dayglobalperiodservices,thepanelincludedaGOvisit. Family 100 NailProcedures Family-Level Notes 1 GlXtimesareextrapolatedfromreferenceservice 17000 GIXESfsettingforboththe INandOUT settings Procedure-Specific Notes Noprocedure-specificnotesforprocedures in Family 100 Family 104 SimpleDebridement, Excision andDestruction Family-Level Notes Nofamily-level notesforfamily 104 Procedure-Specific Notes 17200 Electrocauteryofskintags Panelreportedzeropostop. visits CPTonlycopyright1994AmericanMedicalAssociation.AllRightsReserved. April 30, 1997 Page2 Family 108 Simple Excision andBiopsy Family-Level Notes Nofamily-level notesforfamily 108 Procedure-Specific Notes 15860 Testforbloodflowingrafi Paneldeterminedthatthisis aphysicianworkcomponentonly. Panel costedthis as zeroclinical and administrative stafftime. Family 112 ComplexExcision andDebridement Family-Level Notes Nofamily-level notesforfamily 112 Procedure-Specific Notes 16035 Incisionofbumscab Panelreportedzeropostop. visits. 17304 Chemosurgeryofskinlesion TheseareMohssurgerycodes. Panel reportedthatintheoutofoffice setting askilled Mohssurgerynursemust accompanythephysicianinordertoperformtheprocedure. Theequipmentexceptiontimeformulaforcode Thereare2nursesinvolvedintheIntraperiod Formula= Gl RNpre+Gl RNpost+ 1/2 Gl RNmtra 17305 2ndstagechemosurgery Coderepresentsaddonprocedureforadditional specimenswhichdoesnotincur additional administrativetime. Theequipmentexceptiontimeformulaforcode There are2nursesinvolvedinthehitraperiod Formula= Gl RNpre+Gl RNpost+ 1/2 Gl RNintra /7306 3rdstagechemosurgery Coderepresentsaddonprocedureforadditional specimenswhichdoesnotincur additional administrativetime. Theequipmentexceptiontimeformulaforcode There are2nursesinvolvedintheIntraperiod Formula=Gl RNpre+Gl RNpost+ 1/2 Gl RNintra 17307 Followupskinlesiontherapy Coderepresents addonprocedureforadditional specimenswhichdoesnotincur additional administrativetime. Theequipmentexceptiontimeformulaforcode Thereare2nursesinvolvedinthe Intraperiod Formula-Gl RNpre+Gl RNpost+ 1/2 Gl RNintra 17310 Extensiveskinchemosurgery Coderepresentsaddonprocedureforadditional specimenswhichdoesnotincur additional administrativetime. Theequipmentexceptiontimeformulaforcode There are2nursesinvolvedinthe Intraperiod Formula= Gl RNpre+Gl RNpost+ 1/2 Gl RNintra CPTonlycopyright 1994AmericanMedicalAssociation.AllRightsReserved.