decisionhealth Newsletters, Coder Pink Sheets - 2021 Issue 11 (November)
2022 Final Medicare physician fee schedule: Ortho code winners and losers
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Article Overview
This article reviews orthopedic CPT professional fees that increased or decreased under the 2022 Medicare physician fee schedule, comparing facility and non-facility settings and highlighting office visit reimbursement changes. It is useful for orthopedic practices, coders, and revenue cycle staff who want to understand which service categories were most affected by the CMS final fee schedule update and the associated RVU-based calculations.
Why This Topic Matters
The article helps readers gauge how the 2022 Medicare physician fee schedule may affect orthopedic professional reimbursement patterns in different settings. It is relevant for monitoring fee schedule impacts, budgeting, and understanding which service groups were among the larger movers in the final CMS update.
Article Sections
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Winners in the facility setting
A list of selected orthopedic CPT professional codes that saw higher facility-setting fees in the 2022 final schedule compared with the prior year.
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Losers in the facility setting
A list of selected orthopedic CPT professional codes that saw lower facility-setting fees in the 2022 final schedule compared with the prior year.
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Winners in the non-facility (office) setting
A list of selected orthopedic CPT professional codes that saw higher non-facility fees in the 2022 final schedule compared with the prior year.
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Losers in the non-facility (office) setting
A list of selected orthopedic CPT professional codes that saw lower non-facility fees in the 2022 final schedule compared with the prior year.
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2022 vs. 2021 reimbursement for office visit codes
A comparison of common office visit CPT codes and their non-facility reimbursement changes for 2022 versus 2021.
What You Will Learn
- Which orthopedic service categories were highlighted for fee increases and decreases under the 2022 Medicare physician fee schedule.
- How professional fees are compared between facility and non-facility settings in the article.
- Which office visit code group was included in the reimbursement comparison.
- How the article frames CMS final schedule changes using RVU-based analysis.
Who Should Read This
- Orthopedic coders
- Physician billing staff
- Revenue cycle professionals
- Orthopedic practice administrators
- Medical coding analysts
Codes Discussed
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