News | May 09, 2010

CMS Raises SPECT, Cardiac CT Reimbursement

May 10, 2010 - The Centers for Medicare and Medicaid Services (CMS) just released a technical correction to the 2010 Medicare Physician Fee Schedule, which results in payment increases for myocardial perfusion imaging (MPI), cardiac computed tomography (CT), and cardiac catheterization codes.
These payments are retroactive to Jan. 1, 2010. The correction notice also includes a minor increase in the Medicare conversion factor from 36.066 to 36.0791, effective June through December 2010.

The corrections to MPI and CT codes address errors made in incorporating recommendations from the American Medical Association/Specialty Society Relative Value Scale Update Committee, or RUC, on direct practice expenses, such as medical supplies and equipment time, for these services. The errors included incorrect practice expense values for CPT codes 75571–75574 and 78451–78454. The corrected national average payment for 78452, single photon emission computed tomography (SPECT) MPI is $439, compared to the $379 published in the November final rule.

The American Society of Nuclear Cardiology (ASNC), the Society of Nuclear Medicine (SNM) and the American Medical Association (AMA) identified the errors in the SPECT codes. The Society of Cardiovascular Computed Tomography (SCCT) and the American College of Cardiology (ACC) worked with CMS to correct errors in the cardiac CT codes.

The correction notice also includes changes to malpractice relative value units (RVU) for cardiac catheterization services. In the final rule for the 2010 Medicare Physician Fee Schedule, CMS agreed with ACC, the Society for Cardiovascular Angiography and Interventions (SCAI), and the AMA that cardiac cath services should be assigned malpractice RVUs based on the higher surgical risk factor. However, the published RVUs and payment rates did not correctly reflect that policy change. With this notice, CMS has corrected its error.

The payment changes reflect the higher risk associated with invasive procedures. Therefore, there will be an increase from $235 to $253 for 93510-26, the professional component for left heart catheterization.

For more information: www.acc.org

Related Content

ASNC and SNMMI Release Joint Document on Diagnosis, Treatment of Cardiac Sarcoidosis
News | Cardiac Imaging | August 18, 2017
August 18, 2017 — The American Society of Nuclear Cardiology (ASNC) has released a joint expert consensus document wi
Houston Methodist Hospital Enters Multi-Year Technology and Research Agreement With Siemens Healthineers
News | Imaging | August 17, 2017
Houston Methodist Hospital and Siemens Healthineers have entered into a multi-year agreement to bring cutting-edge...
Study Demonstrates First Human Application of Novel PET Tracer for Prostate Cancer

Transaxial 11Csarcosine hybrid PET/CT showed a (triangulated) adenocarcinoma in the transition zone of the anterior right prostate gland on PET (A), CT (B), and a separately obtained T2?weighted MR sequence (C) with resulting PET/MRI registration (D). Image courtesy of M. Piert et al., University of Michigan, Ann Arbor, Mich.

News | Radiopharmaceuticals and Tracers | August 16, 2017
In the featured translational article in the August issue of The Journal of Nuclear Medicine, researchers at the...
Four Blue Cross Blue Shield Companies Issue Positive Medical Policies on HeartFlow FFRct Analysis
News | Computed Tomography (CT) | August 09, 2017
HeartFlow Inc. announced that four Blue Cross Blue Shield companies have each issued a positive medical policy for the...
The American Lung Association created LUNG FORCE, a national movement to defeat lung cancer
News | Lung Cancer | August 02, 2017
To raise public awareness of lung cancer—the leading cancer killer of men and women—the American Lung Association's...
GE’s DoseWatch is a digital informatics solution that automatically collects, monitors and reports on radiation dose indices for diagnostic imaging exams
News | Radiation Dose Management | July 31, 2017
GE Healthcare announced that it has licensed computed tomography (CT) organ dosimetry technology developed at Duke...
Contrast Media from Bayer, trends in contrast media and developments in contrast media
Feature | Contrast Media | July 28, 2017 | By Dave Fornell
Here are several updates in medical imaging ...
New York Hospital Finds Significant Cost Savings With Toshiba’s Aquilion One CT
News | Computed Tomography (CT) | July 25, 2017
In five years, Kaleida Health’s Stroke Care Center (SCC) at the Gates Vascular Institute in Buffalo, N.Y., has realized...
Overlay Init