AMA CPT® Assistant - 2021 Issue 1 (January)

Medicare RBRVS Changes in 2021 (January 2021)

January 2021 pages 3-5 Medicare RBRVS Changes in 2021 Please note that this article was completed on December 18, 2020, and it does not include any post-Congressional action’s information or data (eg, conversion factor, budget-neutrality adjustment, etc). Conversion Factor for 2021 On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) released the Final Rule for the calendar year (CY) 2021 Medicare Physician Payment Schedule (MFS). To calculate the CY 2021 Medicare conversion factor (CF), CMS applied a budget-neutrality adjustment of -10.20%. This reduction is necessitated by proposed additional spending of $9.9 billion due to...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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