New York Codes, Rules and Regulations
Title 12 - DEPARTMENT OF LABOR
Chapter V - Workers' Compensation
Subchapter C - Medical Treatment and Care
Part 329 - Medical, Outpatient And Ambulatory Surgery Services Fee Schedules
Subpart 329-2 - Ambulatory Surgery Services Fee Schedule
Section 329-2.5 - System updating and incorporation by reference

Current through Register Vol. 46, No. 12, March 20, 2024

(a) The following elements of the APG rate-setting system shall be updated no less frequently than annually:

(1) the listing of reimbursable APGs subject to this Subpart and the relative weight assigned to each such APG;

(2) the Workers' Compensation specific base rates;

(3) the applicable ICD-10 codes utilized in the APG software system;

(4) the applicable CPT-4/HCPCS codes utilized in the APG software system;

(5) the APG software system

(b) The Current Procedure Code, fourth edition (CPT-4) and the Healthcare Common Procedure Coding System (HCPCS), published by the American Medical Association, and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), published by the United States Department of Health and Human Services, as described in this Subpart, are hereby incorporated by reference, with the same force and effect as if fully set forth herein and are available at http:// www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Code-Descriptions-in-Tabular-Order.zip. Copies of the CPT-4 and HCPCS are also available from the American Medical Association, Order Department, P.O. Box 930876, Atlanta, Georgia 31193-0876. Copies of the ICD-10CM are also available from the United States Government Printing Office, P.O. Box 371954, Pittsburgh, Pennsylvania 15250-7954. Copies of the WCB Ambulatory Surgery Base Rates are be available on the WCB website and may be downloaded without cost. Information about the WCB Ambulatory Surgery Fee Schedule or a paper copy of the WCB Ambulatory Surgery Base Rates may be requested by email at GENERALINFORMATION@wcb.ny.gov, or by telephone at 1-800-781- 2362. More information about the APG system and the 3M products that support it are available at: http://www.health.ny.gov/health_care/medicaid/rates/apg/index.htm

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