decisionhealth Newsletters, Part B News - 2005 Issue 8 (August)
11 families of diagnostic imaging services that could be subject to 50% TC rule
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Article Overview
This article reviews diagnostic imaging service families discussed in the context of a proposed Medicare physician fee schedule policy change. It is relevant to radiology billing and reimbursement professionals, imaging facilities, and coding staff who need a high-level understanding of the affected imaging categories, the related code sets, and the source policy context.
Why This Topic Matters
The article helps readers identify which broad imaging service families were included in the policy discussion and understand the regulatory source behind the issue. It is useful for evaluating whether the full article is relevant to coding, billing, and reimbursement work involving diagnostic imaging.
Article Sections
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Family 1 (Ultrasound, abd. and pelvis, non-ob)
A group of diagnostic imaging services in the ultrasound and related non-obstetric abdominal/pelvic category.
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Family 2 CTA (chest, thorax, abd., pelvis)
A group of CT and CTA services involving the chest, thorax, abdomen, and pelvis.
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Family 3 (CTCTA Head, brain, orbit, max., neck)
A group of CT and CTA services involving the head, brain, orbit, maxillofacial region, and neck.
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Family 4 (MRI and MRA, chest, abd., pelvis)
A group of MRI and MRA services involving the chest, abdomen, and pelvis.
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Family 5 (MRI and MRA, head, brain, neck)
A group of MRI and MRA services involving the head, brain, and neck.
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Family 6 (MRI and MRA, spine)
A group of MRI and MRA services involving the spine.
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Family 7 (CT, spine)
A group of CT services involving the cervical, thoracic, and lumbar spine.
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Family 8 (MRI and MRA, lower extremities)
A group of MRI and MRA services involving the lower extremities and joints.
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Family 9 (CT and CTA, lower extremities)
A group of CT and CTA services involving the lower extremities.
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Family 10 (MR and MRI, upper extrem. and joints)
A group of MR and MRI services involving the upper extremities and joints.
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Family 11 (CT and CTA, upper extremity)
A group of CT and CTA services involving the upper extremity.
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Source and policy context
A brief source note tying the discussion to a proposed physician fee schedule table and a policy explanation from the cited federal register reference.
What You Will Learn
- How the article groups diagnostic imaging services into families for policy discussion
- Which broad imaging modalities are included in the source
- How the article frames the Medicare physician fee schedule context
- What kinds of provider settings are mentioned in the source note
Who Should Read This
- Medical coders
- Radiology billing staff
- Revenue cycle professionals
- Imaging center administrators
- Compliance staff
- Physicians and practice managers
Codes Discussed
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