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established based on the 90th percentile of the first 10 billings. To be paid under this subsection, a billing must reflect a charge for the procedure that complies with the applicable standards in 7 AAC 145.020. No more than three claims from a provider, group, or pay-to-provider will be used to establish a fee under this chapter. The department will periodically review and adjust specific payment rates established under this subsection. For state fiscal year 2020, starting on the later date of August 1, 2019, or after a 30 day notice to the providers, the providers who are not enrolled in the MMIS as the provider types or provider specialties identified in (c) of this section, and who are identified as the rendering provider on the claims submitted to the MMIS, will receive 95 percent of the payment rates in this subsection. (f) The department’s payment for an item or service described as an “unlisted procedure,” “not otherwise classified (NOC),” or “not otherwise specified” will not exceed 50 percent of billed charges if the department agrees that the item or service cannot be billed under another code, and if the billing reflects a charge for the item or service that complies with the applicable standards in 7 AAC 145.020. For state fiscal year 2020, starting on the later date of August 1, 2019, or after a 30 day notice to the providers, the providers who are not enrolled in the MMIS as the provider types or provider specialties identified in (c) of this section, and who are identified as the rendering provider on the claims submitted to the MMIS, will receive 95 percent of the payment rates in this subsection. (g) The department will not make an additional payment for an unusual procedural service identified as modifier -22 in the list of modifiers set out in Current Procedural Terminology, adopted by reference in 7 AAC 160.900. (h) For providers who are not required to enroll under 7 AAC 120.200 or 7 AAC 120.300, the department will pay for nonroutine office medical and surgical supplies in accordance with the same methodology and rates established in 7 AAC 145.420, and 7 AAC 145.421 except that, for state fiscal year 2020, starting on the later of August 1, 2019 or after a 30 day notice to the providers, rates for providers who are not enrolled in the MMIS as the provider types or provider specialties identified in 7 AAC 145.050(c) will be reimbursed at 95 percent of the payment rates established in 7 AAC 145.420 and 7 AAC 145.421. (i) New, previously unpriced CPT and HCPCS codes with established RVUs will, upon adoption by reference in 7 AAC 160.900, be priced in accordance with (c) of this section, using the conversion factor in (b)(3) of this section. (j) RVU values are updated annually on July 1. (Eff. 2/1/2010, Register 193; am 12/1/2011, Register 200; am 5/11/2012, Register 202; am 3/22/2014, Register 209; am 10/1/2017, Register 223; am 7/1/2019, Register 231) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040