decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 9 (September)
CMS targets prolonged services, epidural injections and more with RVU changes
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Article Overview
This article summarizes CMS proposals in the 2017 Medicare physician fee schedule that revise payment valuation for selected CPT services and introduce or replace multiple procedure codes. It is useful for physicians, coders, billers, and practice managers who need to track proposed RVU changes, code conversions, deletions, add-on relationships, and imaging-related bundling across several specialties.
Why This Topic Matters
CMS valuation proposals can change reimbursement, reporting workflows, and code selection across office-based care, surgery, therapy, radiology, cardiology, pain management, orthopedics, vascular procedures, and spine services. Understanding which codes are being revised, deleted, or replaced helps practices prepare for schedule updates and public comment periods.
Article Sections
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Proposed RVU revisions to existing codes
This section reviews CMS proposals affecting the valuation of selected established CPT services across multiple specialties. It focuses on proposed changes tied to misvaluation review and relative value updates.
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New codes in proposed 2017 fee schedule
This section outlines newly introduced or converted CPT services appearing in the proposed fee schedule. It covers several procedure families, including spine, vascular, cardiology, therapy, dialysis, and pain management.
What You Will Learn
- Which categories of CPT services CMS proposed to revalue for 2017
- How the proposed fee schedule addresses new, revised, and replaced procedure codes
- What types of specialty areas are affected by the proposed RVU updates
- How the article frames code deletions, replacements, and add-on code changes
- Which broad service groups are included in the proposal, such as therapy, epidural injections, spine, and vascular procedures
Who Should Read This
- Medical coders
- Billing specialists
- Physician practices
- Practice managers
- Compliance staff
- Revenue cycle professionals
- Healthcare consultants
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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