RA Messages for April 16, 2002

 PHARMACY PROVIDERS, PLEASE NOTE!!!

IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT THE PBM HELP DESK AT 1-800-648-0790.

PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX C:

LABELER               COMPANY BEGIN END
00144  SUPERIOR PHARMACEUTICAL COMPANY     04/01/02
49158  THAMES PHARMACAL COMPANY     04/01/02
52349 MED-TEK SYSTEMS    07/01/02
65847 SCOIS, INC 07/01/02    
66607 RARE DISEASES THERAPEUTICS,INC  07/01/02    
66779 REGENTS LABS, INC 07/01/02    

PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID

ATTENTION COMMUNITY CARE PROVIDERS

THE FOLLOWING INCREASES FOR EVALUATION AND MANAGEMENT CODES WILL BE EFFECTIVE FOR 4/1/02, FOR COMMUNITY CARE PROVIDERS WHO PROVIDE SERVICES TO COMMUNITY CARE RECIPIENTS:                                          

CODE RATE CODE RATE CODE RATE CODE RATE
99201 $21.95 99218 $42.68 99238 $43.73 99347 $30.26
99202 $39.92 99219 $71.20  99283 $39.65 99348 $48.31
99203 $59.73 99220 $99.70 99284 $61.89  99349 $74.99
99204 $85.06 99221 $43.12 99285 $96.75  99350 $109.45
99205  $108.44 99222  $71.64  99342  $57.82 99432  $57.23
99211 $12.82 99223 $99.87 93343 $86.02  99381-99395 $51.00
99214 $51.00 99232 $35.41 99344 $111.65      
99215 $75.30 99233 $50.53 99345 $137.23       

THE FOLLOWING SPEC.CODES WILL BE INCREASED AS FOLLOWS FOR ALL PROVIDERS

CODE RATE CODE RATE CODE RATE CODE RATE
33960 $666.65  62270  $119.29 90784  $10.74 95810  $472.37
43760 $61.29 64640 $151.60 93501 $481.92 96410  $34.31
57452  $64.26 85102  $104.80 93510 $974.73     

NOTICE TO PROVIDER OF PROFESSIONAL SERVICES

THE FEES FOR THE FOLLOWING CPT CODES WERE INCREASED EFFECTIVE WITH DATE 
OF SERVICE APRIL 1, 2002. 
33960 - EXTERNAL CIRCULATION ASSIST - $666.65 
43760 - CHANGE OF GASTROSTOMY TUBE; SIMPLE - $61.29 
57452 - EXAMINATION OF VAGINA - $64.26 
62270 - SPINAL FLUID TAP, DIAGNOSTIC - $119.26 
64640 - INJECTION TREATMENT OF NERVE - $151.60 
85102 - BONE MARROW BIOPSY - $104.80 
90784 - THERAPEUTIC INJECTION; IV - $10.74 
93501 - RT. HEART CATHETERIZATION; ONLY - $481.92 
93510 - LEFT HEART CATHETERIZATION; PERCUTANEOUS - $974.43 
95810 - POLYSOMNOGRAPHY, 4 OR MORE - $472.37 
96410 - CHEMOTHERAPY ADMINISTRATIVE, INTRAV - $34.31