Voglio sapere a riguardo di…

Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Rules and Regulations 2021, as the year in which the proposed packaging status of each drug and biological with HCPCS codes that describe different dosages of the same drug or biological would apply.
On Page 86063, in Table 42: Skin Substitute Assignments to High Cost and Low Cost Groups for CY 2021, we inadvertently stated in the column titled Final CY 2021 High/Low Cost Assignment that HCPCS code Q4222 is assigned to the Low cost group rather than High cost group.
On Page 86273, we inadvertently described the increase in total OPPS
payments in CY 2021 as a result of the update to the conversion factor, the CY
2021 frontier wage index adjustment, and other adjustments not including the effects of outlier payments or the pass-through payment estimates as 0.2
percent, rather than 2.6 percent.
2. Ambulatory Surgical Center ASC
Payment System Corrections On pages 86154 and 86165, in Tables 59 and 60, we incorrectly listed the final CY 2021 ASC payment indicator for CPT code 0404T Transcervical uterine fibroids ablation with ultrasound guidance, radiofrequency as G2
instead of J8. As stated on page 86016, we assigned device-intensive status to CPT code 0404T and finalized a default device offset percentage of 31
percent to reflect the device costs associated with that code for CY 2021.
However, we inadvertently did not assign device-intensive status to CPT
code 0404T or utilize the default device offset percentage under the ASC
payment system for CPT code 0404T
when calculating ASC payment rates for CY 2021.
On page 86175, we inadvertently did not refer to the revised modifications to the labor market areas contained in OMB Bulletins 1803 and 1804. While we used these updated delineations to calculate the ASC wage index for CY
2021, which we used to calculate the ASC payment system rates, we unintentionally did not include conforming language in the ASC wage index section of the preamble to refer to these bulletins. Therefore, we are correcting the ASC wage index section by including language referring to the revised labor market areas issued in the OMB Bulletins 1803 and 1804.
On pages 86176 and 86282, we are correcting references to the weight scalar used in ASC payment rate calculations from 0.8591 to 0.8547
to include the effect of our policy to unpackage HCPCS code J1097
phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml for CY 2021

VerDate Sep<11>2014

16:18 Feb 24, 2021

Jkt 253001

85 FR 86172. We also inadvertently omitted prospective expenditures related to HCPCS code J1097 for CY
2021 in our calculation of the ASC
budget neutrality adjustment. We note that the ASC weight scalar of 0.8547
includes this correction, the correction noted above for CPT code 0404T, and accounts for the increase in CY 2021
Medicare Physician Fee Schedule payment amounts of 3.75 percent, which is required by section 101a of Division N, Title I of the Consolidated Appropriations Act CAA, 2021 Pub.
L. 116260. For office-based covered surgical procedures and certain covered ancillary radiology services and diagnostic tests under the ASC payment system, the payment rate is the lower of the final CY 2021 MPFS nonfacility PE
RVU-based amount multiplied by the MPFS conversion factor or the OPPSrelative weight-based CY 2021 ASC
payment amount, and accordingly, it was necessary to update the MPFSbased ASC rates for CY 2021.
3. Hospital Outpatient Quality Reporting Program Correction On page 86182, in footnote 107, the url in the following reference is corrected: The data reviewed are maintained in the CMS Integrated Data Repository IDR. The IDR is a high volume data warehouse integrating Medicare Parts A, B, C, and D, and DME
claims, beneficiary and provider data sources, along with ancillary data such as contract information and risk scores.
Additional information is available at https www.cms.gov/ResearchStatistics-DataandSystems/ComputerData-and-Systems/IDR/index.html.
The url is corrected to read: https
www.cms.gov/Research-Statistics-Dataand-Systems/Computer-Data-andSystems/IDR.
4. Ambulatory Surgical Center Quality Reporting Program Correction On page 86192, in footnote 110, the url in the following reference is not correct: For more information on the ECE policy, we refer stakeholders to the QualityNet website at https
www.qualitynet.org/asc/
datasubmissiontab2. The url is corrected to read: https
www.qualitynet.org/asc/ascqr/
participationtab2.
B. Summary of Errors and Corrections to the OPPS and ASC Addenda Posted on the CMS Website 1. OPPS Addenda Posted on the CMS
Website In Addendum A of the CY 2021
OPPS/ASC final rule with comment
PO 00000

Frm 00043

Fmt 4700

Sfmt 4700

11429

period, APC 9370 had an incorrect payment rate of $0.752. We corrected the following:
For APC 9370 Fluoroestradiol f 18, we included an incorrect payment rate.
Specifically, we are correcting the payment rate from $0.752 to $626.583.
In Addendum B of the CY 2021
OPPS/ASC final rule with comment period, HCPCS codes G2061, G2062, and G2063 are incorrectly shown as active codes with status indicator A
to indicate that they should be paid under a fee schedule or payment system other than the OPPS. These codes have been deleted effective December 31, 2020, and therefore should be assigned status indicator D to indicate that they are discontinued codes. These codes have been replaced with CPT
codes 98970, 98971, and 98972, respectively. CPT codes 98970, 98971, and 98972 were incorrectly assigned to status indicator B to indicate that another more appropriate code should be reported. But because these codes are replacing HCPCS codes G2061, G2062, and G2063, they should be assigned status indicator A. Therefore, in the Addendum B Final OPPS Payment by HCPCS code for CY 2021, we corrected the following:
HCPCS code G2061 Qual nonmd est pt 510m: We made a typographical error in the status indicator assignment.
Specifically, we are correcting the status indicator from A to D.
HCPCS code G2062 Qual nonmd est pt 1120m: We made a typographical error in the status indicator assignment. Specifically, we are correcting the status indicator from A to D.
HCPCS code G2063 Qual nonmd est pt 21>min: We made a typographical error in the status indicator assignment. Specifically, we are correcting the status indicator from A to D.
CPT code 98970 Qnhp ol dig assmt&mgmt 510: We made a typographical error in the status indicator assignment. Specifically, we are correcting the status indicator from B to A. We are also assigning 98970
to comment indicator CH to indicate that its status indicator has changed.
CPT code 98971 Qnhp ol dig assmt&mgmt 1120: We made a typographical error in the status indicator assignment. Specifically, we are correcting the status indicator from B to A. We are also assigning 98971
to comment indicator CH to indicate that its status indicator has changed.
CPT code 98972 Qnhp ol dig assmt&mgmt 21+: We made a typographical error in the status indicator assignment. Specifically, we
E:FRFM25FER1.SGM

25FER1