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To all:

Comments are due January 8, 1999 regarding the proposed rule on the
Hospital Outpatient Prospective Payment System.  In an attempt to
substantiate joint SVT & SDMS comments (these being currently under
development with Bill Sarraille), data on examination time would be very
useful.  Consequently, we request your participation in the following
informal survey.  

All responses will be confidential and, if you request, I will provide a
copy of our final comments.

The first column is a request for average time of examination in minutes. 
NOTE:  time of examination must include the time from which the patient
enters the examination room until the room is ready for the next patient to
enter (i.e., not just scan time but the time the room is used by the
patients examination and related activities - cleaning, etc.).  This time
should represent an average (i.e., neither of the extremes).  If you do not
provide a given procedure, please enter "NA" (or leave blank).

The next two columns include the pertinent CPT code and a brief description
(refer to a CPT codebook for a complete description).

Thank you in advance for your time and effort.
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Time (Minutes)  CPT     Description 

Diagnostic Ultrasound

Chest

 _____          76845   breast(s) (unilateral or bilateral)

Abdomen & Retroperitoneum

 _____          76700   abdominal, complete

 _____          76705      limited (e.g., single organ, etc.)

 _____          76700   retroperitoneal complete

 _____          76775      limited

Pelvis

 _____          76805   complete maternal & fetal evaluation

 _____          76810      complete maternal/fetal, multiple gestation, 
                           after the first trimester

 _____          76815      limited (age, heart beat, position, etc.)

 _____          76816      follow-up or repeat

 _____          76818   fetal biophysical profile

 _____          76830   transvaginal

 _____          76856   non-obstetric pelvic, complete

 _____          76857      limited or follow-up (e.g., for follicles)

Genitalia

 _____          76872   transrectal

Ultrasonic Guidance Procedures

 _____          76930   pericardiocentesis

 _____          76934   thoracentesis or abdominal paracentesis

 _____          76936   compression repair of pseudo-aneurysm 
                        (includes diagnostic evaluation & compression)

 _____          76938   cyst or renal pelvis aspiration

 _____          76942   needle biopsy

 _____          76946   amniocentesis

Echocardiography

 _____          93307   transthoracic 2D, complete

 _____          93308      follow-up or limited

 _____          93320   Doppler, complete

 _____          93321      follow-up or limited

 _____          93325   color Doppler echocardiography

 _____          93350   transthoracic echo at rest and with stress

Vascular

 _____          93880   complete extracranial duplex

 _____          93882      unilateral or limited

 _____          93922   single level physiologic (e.g., ABIs)

 _____          93923   multiple level physiologic (eg, segmental BPs)

 _____          93924   physiologic at rest and after treadmill

 _____          93970   extremity venous duplex; complete

 _____          93971      unilateral or limited

 _____          93975   duplex; abd. pelvic etc. organs; complete

 _____          93976      limited

 _____          93978   duplex; aorta, IVC, iliac; complete

 _____          93979      unilateral or limited

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Franklin W. West
Writing at 5:05:08 PM on 12/1/98 

PVI
18702 North Creek Parkway, Suite 212
Bothell, WA   98011
425.483.4058 (office)
425.485.6035 (fax)
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