103 STAT. 2188 PUBLIC LAW 101-239—DEC. 19, 1989 42 USC 1395m note. 42 USC 1395U note. 42 USC 1395W-4 note. Public information. (6) PAYMENT FOR RADIOLOGIST SERVICES. —(A) Section 1833(a)(l)(J) of such Act (42 U.S.C. 13951(a)(l)(J)) is amended by inserting "subject to section 1848," before "the amounts". (B) S^tion 4049(b)(2) of the Omnibus Budget Reconciliation Act of 1987 is amended by striking ", and until" and all that follows through "Social Security Act". (7) PAYMENT FOR NURSE MIDWIVES. — Section 1833(a)(l)(K) of the Social Security Act (42 U.S.C. 13951(a)(l)(K)) is amended by inserting ", or, for services furnished on or after January 1, 1992, 65 percent of the fee schedule amount provided under section 1848 for the same service performed by a physician" after "for the same service performed by a physician". (8) PHYSICIANS' SERVICES FOR INDIVIDUALS WITH END STAGE RENAL DISEASE. — Section 1881(b)(3)(A) of such Act (42 U.S.C. 1395rr(b)(3)(A)) is amended by inserting "or, for services fur- nished on or after January 1, 1992, on the basis described in section 1848" after "comparable services". (9) EXTENSION OF MAXIMUM ALLOWABLE ACTUAL CHARGE UMiTS.—Subparagraphs (B)(ii) and (D)(v) of section 1842(j)(l) of such Act (42 U.S.C. 1395u(j)(l)) are each amended by striking all that follows "after" the first place it appears and inserting "December 31, 1990.". (10) TREATMENT OF CERTAIN EYE EXAMINATION VISITS AS PRI- MARY CARE SERVICES. — In applying section 1842(i)(4) of the Social Security Act for services furnished on or after January 1, 1990, intermediate and comprehensive office visits for eye examina- tions and treatments (codes 92002 and 92004) shall bie considered to be primary care services. (11) DISTRIBUTION OF MODEL FEE SCHEDULE.— By September 1, 1990, the Secretary shall develop a Model Fee Schedule, using the methodology set forth in section 1848 of the Social Security Act. The Model Fee Schedule shall include as many services as the Secretary concludes can be assigned valid relative values. The Secretary shall submit the Model Fee Schedule to the appropriate committees of Congress and make it generally available to the public. (f) PAYMENT FOR PATHOLOGY SERVICES. — (1) FEE SCHEDULE. —Section 1834 of the Socisd Security Act (42 U.S.C. 1395m) is amended by adding at the end the following new subsection: "(f) FEE SCHEDULE FOR PHYSICIAN PATHOLOGY SERVICES. — "(1) APPLICATION.— Subject to section 1848, the Secretary shall provide for application of a fee schedule with respect to physi- cian pathology services. Subject to paragraph (2), such fee sched- ule shall be based on relative values developed by the Secretary, in consultation with organizations representing physicians performing such services. Such fee schedule shall be designed so as to result in expenditures under this part for services covered under the schedule in an amount that would not exceed the amount of such expenditures which would otherwise occur. In developing such fee schedule the Secretary shall take into account the special circumstances of rural independent labora- tories. "(2) GEOGRAPHIC AREA ADJUSTMENT. —The Secretary shall pro- vide for a geographic areadjustment of the conversion factors in a manner comparable to the geographic areadjustment applied to physicians' services under section 1848 during the year in which the services are furnished.".
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