42 CFR 414.24 - Review, revision, and addition of RVUs for physician services.

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There are 4 Updates appearing in the Federal Register for 42 CFR 414. View below or at eCFR (GPOAccess)
§ 414.24 Review, revision, and addition of RVUs for physician services.
(a) Interim values for new and revised HCPCS level 1 and level 2 codes.
(1) CMS establishes interim RVUs for new services and for codes for which definitions have changed.
(2) CMS publishes a notice in the Federal Register to announce interim RVUs and seek public comment on them. The RVUs are effective prospectively for services furnished beginning on the effective date specified in the notice.
(3) After considering public comments, CMS revises, if necessary, the interim RVUs and announces those revisions in a final notice published in the Federal Register. Any revisions in the RVUs are effective prospectively for services furnished beginning on the effective date specified in the final notice.
(b) Revision of RVUs for established HCPCS level 1 and level 2 codes.
(1) CMS publishes a proposed notice in the Federal Register to announce changes in RVUs for established codes and provides an opportunity for public comment no less often than every 5 years.
(2) After considering public comments, CMS publishes a final notice in the Federal Register to announce revisions to RVUs.
(3) The RVU revisions are effective prospectively for services furnished beginning on the effective date specified in the final notice.
(c) Values for local codes (HCPCS Level 3).
(1) Carriers establish relative values for local codes for services not included in HCPCS levels 1 or 2.
(2) Carriers must obtain prior approval from CMS to establish local codes for services that meet the definition of “physician services” in § 414.2.
[56 FR 59624, Nov. 25, 1991, as amended at 57 FR 42492, Sept. 15, 1992]

Title 42 published on 2013-10-01

The following are only the Rules published in the Federal Register after the published date of Title 42.

For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.

  • 2014-03-18; vol. 79 # 52 - Tuesday, March 18, 2014
    1. 79 FR 15030 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status; Corrections
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
      Final rules; correction.
      This correcting document is effective on March 18, 2014.
      42 CFR Parts 412, 413, 414, 419, 424, 482, 485, and 489

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United States Code
Statutes at Large
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Title 42 published on 2013-10-01

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 414 after this date.

  • 2014-03-18; vol. 79 # 52 - Tuesday, March 18, 2014
    1. 79 FR 15030 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status; Corrections
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
      Final rules; correction.
      This correcting document is effective on March 18, 2014.
      42 CFR Parts 412, 413, 414, 419, 424, 482, 485, and 489