Page:United States Statutes at Large Volume 114 Part 5.djvu/510

 114 STAT. 2763A-470 PUBLIC LAW 106-554—APPENDIX F (c) EFFECTIVE DATE. —The amendments made by subsections (a) and (b) shall apply with respect to screening mammographies furnished on or after January 1, 2002. (d) PAYMENT FOR NEW TECHNOLOGIES.— (1) TESTS FURNISHED IN 2001. — (A) SCREENING.—For a screening mammography (as defined in section 1861(jj) of the Social Security Act (42 U.S.C. 1395x(jj))) furnished during the period beginning on April 1, 2001, and ending on December 31, 2001, that uses a new technology, payment for such screening mammography shall be made as follows: (i) In the case of a technology which directly takes a digital image (without involving film), in an amount equal to 150 percent of the amount of pa3anent under section 1848 of such Act (42 U.S.C. 1395w-4) for a bilateral diagnostic mammography (under HCPCS code 76091) for such year. (ii) In the case of a technology which allows conversion of a standard film mammogram into a digital image and subsequently analyzes such resulting image with software to identify possible problem areas, in an amount equal to the limit that would otherwise be applied under section 1834(c)(3) of such Act (42 U.S.C. 1395m(c)(3)) for 2001, increased by $15. (B) BILATERAL DIAGNOSTIC MAMMOGRAPHY. — For a bilateral diagnostic mammography furnished during the period beginning on April 1, 2001, and ending on December 31, 2001, that uses a new technology described in subparagraph (A), payment for such mammography shall be the amount of payment provided for under such subparagraph. (C) ALLOCATION OF AMOUNTS.—The Secretary shall provide for an appropriate allocation of the amounts under subparagraphs (A) and (B) between the professional and technical components. (D) IMPLEMENTATION OF PROVISION.—The Secretary of Health and Human Services may implement the provisions of this paragraph by program memorandum or otherwise. (2) CONSIDERATION OF NEW HCPCS CODE FOR NEW TECH- NOLOGIES AFTER 2001. —The Secretary shall determine, for such mammographies performed after 2001, whether the assignment of a new HCPCS code is appropriate for mammography that uses a new technology. If the Secretary determines that a new code is appropriate for such mammography, the Secretary shall provide for such new code for such tests furnished after 2001. (3) NEW TECHNOLOGY DESCRIBED.— For purposes of this subsection, a new technology with respect to a mammography is an advance in technology with respect to the test or equipment that results in the following: (A) A significant increase or decrease in the resources used in the test or in the manufacture of the equipment. (B) A significant improvement in the performance of the test or equipment. (C) A significant advance in medical technology that is expected to significantly improve the treatment of medicare beneficiaries.

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