This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Applications are available at the AMA website. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.Īny use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. All Rights Reserved (or such other date of publication of CPT). Outpatient Prospective Payment System HighlightsĬMS finalized a 3.1% increase to hospital outpatient and ambulatory surgical center rates for 2024.License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth EditionĮnd User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). SCAI’s Government Relations Committee and its political arm, SCAI PAC, will be monitoring Congressional action and providing more information to SCAI members for further action in the near future. 3674, the Providing Relief and Stability for Medicare Patients Act of 2023, which would help to offset the cuts. SCAI continues to fight the payment cuts through both regulatory and legislative channels including the support of H.R. Based on public feedback, CMS finalized the performance threshold for 2024 to remain at 75 points. CMS originally proposed an increase from 75 points to 82 points. Change the team surgeon payment policy indicator from “0” to “1” for CPT code 0646T.ĬMS will not implement the proposed changes to the performance threshold for the 2024 performance year.Change the co-surgeon payment policy indicator from “0” to “1” for transcatheter valve procedure codes 0544T, 0545T, 0569T and 0570T, and to “2” for CPT code 0646T.Change the assistant surgeon payment policy indicator from “0” to “2” for the following transcatheter valve procedure codes 0483T, 0544T, 0545T, 0569T, 0570T and 0646T.CMS agreed to make the following policy indicator changes to allow co-surgeons, team surgeons, and assistant surgeons for these procedures: SCAI requested that CMS review their policies for co-surgeons, team surgeons, and assistant surgeons for transcatheter mitral valve and tricuspid valve Category III CPT procedure codes. CMS accepted the AMA RUC value recommendation. Percutaneous Transluminal Coronary LithotripsyĬMS finalized its value for a new CPT add on code for percutaneous transluminal coronary lithotripsy. VenographyĪfter advocacy from SCAI, CMS finalized the RUC recommendations for all five new CPT® add on codes for venography. Services rendered in the home and billed with place of service code 10 will continue to be paid at the non-facility, office-based rate. The services on the telehealth list only through the end of the current public health emergency will be extended through December 31, 2024, along with the provision for site of service to include the patient’s home. SCAI will issue a detailed guidance document on how this code may be used. G2211ĬMS finalized its proposal for an add on code, G2211, to be used in addition to evaluation and management services for additional complexity stemming from ongoing care of complex chronic conditions. The Senate Finance Committee has set forth a discussion draft that includes a 1.25 percent increase to the physician fee schedule that would help offset this reduction. Medicare Physician Fee Schedule Highlights Conversion Factorįor 2024, CMS finalized a conversion factor of $32.74 compared to $33.08 in 2023.
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