CERTAIN OVERVALUED PROCEDURES.

SEC. 4101. CERTAIN OVERVALUED PROCEDURES. (a) Previously Identified Procedures.—Section 1842(b)(14) (42 U.S.C. 1395u(b)(14)) is amended— (1) by inserting “(i)” after “(14)(A)”; and (2) by adding at the end of subparagraph (A) the following new clause: “(ii) In determining the reasonable charge for a physicians’ service specified in subparagraph (C)(i) and furnished during 1991, the prevailing charge for such service shall be the prevailing charge otherwise recognized for such service for the period during 1990 beginning on April 1, reduced by the same amount as the amount of the reduction effected under this paragraph (as amended by the Omnibus Budget Reconciliation Act of 1990) for such service during such period.”. (b) Unsurveyed Surgical and Technical Procedures.— (1) Section 1842(b) (42 U.S.C. 1395u(b)) is amended by adding at the end the following new paragraph: “(16) (A) In determining the reasonable charge for all physicians’ services other than physicians’ services specified in subparagraph (B) furnished during 1991, the prevailing charge for a locality shall be 6.5 percent below the prevailing charges used in the locality under this part in 1990 after March 31. “(B) For purposes of subparagraph (A), the physicians’ services specified in this subparagraph are as follows: “(i) Radiology, anesthesia and physician pathology services, the technical components of diagnostic tests specified in para-104 STAT. 1388–55graph (17) and physicians’ services specified in paragraph (14)(C)(i). “(ii) Primary care services specified in subsection (i)(4), hospital inpatient medical services, consultations, other visits, preventive medicine visits, psychiatric services, emergency care facility services, and critical care services. “(iii) Partial, simple and subcutaneous mastectomy; tendon sheath injections; small joint arthrocentesis; femoral fracture treatments; trochanteric fracture treatments; endotracheal intubation; thoracentesis; thoracostomy; lobectomy; aneurysm repair; enterectomy; colectomy; cholecystectomy; cystourethroscopy; transurethral fulguration; transurethral resection; sacral laminectomy; tympanoplasty with mastoidectomy; and ophthalmoscopy.”. (2) In applying section 1842(b)(16) of the Social Security Act: (A) The codes for the procedures specified in clause (ii) are as follows: Hospital inpatient medical services (HCPCS codes 90200 through 90292), consultations (HCPCS codes 90600 through 90654), other visits (HCPCS code 90699), preventive medicine visits (HCPCS codes 90750 through 90764), psychiatric services (HCPCS codes 90801 through 90862), emergency care facility services (HCPCS codes 99062 through 99065), and critical care services (HCPCS codes 99160 through 99174). (B) The codes for the procedures specified in clause (iii) are as follows: Partial, simple and subcutaneous mastectomy (HCPCS codes 19160 and 19162); tendon sheath injections and small joint arthrocentesis (HCPCS codes 20550, 20600, 20605, and 20610); femoral fracture and trochanteric fracture treatments (HCPCS codes 27230, 27232, 27234, 27238, 27240, 27242, 27246, and 27248); endotracheal intubation (HCPCS code 31500); thoracentesis (HCPCS code 32000); thoracostomy (HCPCS codes 32020, 32035, and 32036); aneurysm repair (HCPCS codes 35111); cystourethroscopy (HCPCS code 52340); transurethral fulguration and resection (HCPCS codes 52606 and 52620); tympanoplasty with mastoidectomy (HCPCS code 69645); and ophthalmoscopy (HCPCS codes 92250, and 92260).”.55So in original. The “ “.” should probably be deleted.