Page:United States Statutes at Large Volume 108 Part 5.djvu/924

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108 STAT. 4414 PUBLIC LAW 103-432—OCT. 31, 1994 furnished incident to such services) furnished by a second physician to patients of the first physician if (i) the first physician is unavailable to provide the services; (ii) the services are furnished pursuant to an arrangement between the two physicians that (I) is informal and reciprocal, or (II) involves per diem or other fee-for-time compensation for such services; (iii) the services are not provided by the second physician over a continuous period of more than 60 days; and (iv) the claim form submitted to the carrier for such services includes the second physician's unique identifier (provided under the system established under subsection (r)) and indicates that the claim meets the requirements of this subparagraph for payment to the first physician". 42 USC 1395u (2) EFFECTIVE DATE.— The amendment made by paragraph "°*®' (1) shall apply to services furnished on or after the first day of the first month beginning more than 60 days after the date of the enactment of this Act. SEC. 126. MISCELLANEOUS AND TECHNICAL CORRECTIONS. (a) OVERVALUED PROCEDURES.—(1) Section 1842(b)(16)(B)(iii) (42 U.S.C. 1395u(b)(16)(B)(iii)) is amended— (A) by striking ", simple and subcutaneous", (B) by striking "; small" and inserting "and small", (C) by striking "treatments;" the first place it appears and inserting "and", (D) by striking "lobectomy;", (E) by striking "enterectomy; colectomy; cholecystectomy;", (F) by striking "; transurerethral resection" and inserting "and resection", and (G) by striking "sacral laminectomy;". 42 USC 1395U (2) Section 4101(b)(2) of OBRA-1990 is amended— "°^- (A) in the matter before subparagraph (A), by striking " 1842(b)(16)" and inserting "1842(b)(16)(B)", and (B) in subparagraph (B)— (i) by striking ", simple and subcutaneous", (ii) by striking "(HCPCS codes 19160 and 19162)" and inserting "(HCPCS code 19160)", and (iii) by striking all that follows "(HCPCS codes 92250" and inserting "and 92260).". (b) RADIOLOGY SERVICES. — (1) Section 1834(b)(4) (42 U.S.C. 1395m(b)(4)) is amended by redesignating the subparagraphs (E) and (F) redesignated by section 4102(a)(1) of OBRA-1990 as subparagraphs (F) and (G), respectively. (2) Section 1834(b)(4)(D) (42 U.S.C. 1395m(b)(4)(D)) is amended— (A) in the matter before clause (i), by striking "shall be determined as follows:" and inserting "shall, subject to clause (vii), be reduced to the adjusted conversion factor for the locality determined as follows:", (B) in clause (iv), by striking "LOCAL ADJUSTMENT. —Subject to clause (vii), the conversion factor to be applied to" and inserting "ADJUSTED CONVERSION FACTOR.— The adjusted conversion factor for", (C) in clause (vii), by striking "under this subparagraph", and (D) in clause (vii), by inserting "reduced under this subparagraph by" after "shall not be".