|
|
|
Current resource |
Prior resource |
| |
Examples
of calculating the payment for various provider types |
Maximum
payment amount for OSC |
|
| |
| |
2009
Current Resources effective 7/1/09
For OAR 436-009 rules |
The Federal Register |
ASA Relative Value Guide |
Current Procedural Terminology (CPT®) codes/CPT®
Assistant |
ICD-9-CM Code Book |
Ambulatory Surgical Center (ASC) Codes |
NUBC-04 |
HCPCS Coding System |
| |
| |
| The
Federal Register |
Addendum
B provides the relative value unit (RVUs) and related information
used in determining medical services payments for health care providers.
Addendum C lists codes with Interim RVUs.
Download
Vol. 73. No. 224, November 19, 2008, go to the Centers for Medicare
and Medicare Services, click on PDF format and scroll down to page
220.
This file is very large and may take time to download.
Order a hardcopy online,
or call the Government Printing Office Bookstore at 1-866-512-1800.
Ask for the Federal Register, Vol. 73, No. 224, November 19, 2008. |
|
| The
American Society of Anesthesiology Relative Value Guide (ASA) |
Provides
RVUs and related information used in determining medical services
payments for anesthesia providers. Ask for the 2009 Relative Value
Guide.
To order the ASA Relative Value Guide, contact:
American Society of Anesthesiologists
520 N. Northwest Highway
Park Ridge, IL 60068-2573
Phone: 847-825-5586 |
|
|
Current Procedural Terminology (CPT®)/CPT®
Assistant |
Provides
codes, descriptions, and guidelines for medical service providers
to use in billing for their services. Ask for CPT® 2009.
To order the CPT® 2009 or the CPT Assistant, contact:
American Medical Association
515 North State Street
Chicago, IL 60610
Phone: 800-621-8335 |
| |
|
ICD-9-CM
Code Book |
| Provides
codes and description to use for diagnosis and categorizing disease
and injuries. Check out the free on-line
ICD-9 search. |
| |
| Ambulatory
Surgical Center (ASC) Medicare ASC groups |
These
files contain the procedure codes which may be performed in an ASC
under the Medicare program as well as the ASC payment group assigned
to each of the procedure codes.
Note: These files contain material copyrighted by the American Medical
Association. The downloadable zipped files are very long, use caution
when printing.
ASC Approved HCPCS Codes and Payment Rates
(Use the 2006 ASC approved HCPCS codes and payment rates link.)
Note: See OAR 436-009-0022(3)
for newly assigned codes or codes that are assigned to a different
ASC payment group.
If you have questions about the information contained in this document,
please contact the medical reviewer of the day, 503-934-6049. |
| |
| NUBC-04 |
For
hospital billing, this replaces the UB-92.
To
order the NUBC UB-04 Data Specifications Manual, contact:
National Uniform Billing Committee
American Hospital Association
29th Floor
One North Franklin
Chicago, IL 60606
Phone: 312-422-3390
Ask to: Become a subscriber of the NUBC UB-04 Specifications Manual |
| |
| Healthcare
Common Procedure Coding System |
To
order the Healthcare Common Procedure Coding System, 12/21/2006, contact:
National Technical Information Service
Springfield, VA 22161
Phone: 800-621- 8335
Online
link |