decisionhealth Newsletters, Part B News - 2016 Issue 7 (July)
CMS targets prolonged services, epidural injections and more with RVU changes
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Article Overview
This article explains CMS proposals tied to the 2017 Medicare physician fee schedule, with emphasis on revised and newly added CPT services across evaluation and management, surgery, spine, vascular, interventional pain, therapy, and other specialties. It is relevant to coders, billing staff, compliance teams, and physician practices that track CPT code updates, valuation changes, and related Medicare policy developments.
Why This Topic Matters
The proposed RVU changes affect how multiple CPT services are valued under Medicare and signal which procedures, categories, and code revisions were under CMS review for the 2017 fee schedule.
Article Sections
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Proposed RVU revisions to existing codes
Overview of selected established CPT services that CMS proposed to revalue for the upcoming fee schedule. The section spans multiple specialties and discusses broad valuation changes affecting existing procedure categories.
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New codes in proposed 2017 fee schedule
Summary of newly created or converted CPT services proposed for the 2017 fee schedule. The section covers several procedural areas, including spine, vascular, therapy, pain management, dialysis, and cardiac-related services.
What You Will Learn
- Which broad categories of CPT services were targeted for proposed RVU changes
- How CMS frames proposed revisions versus newly created code families
- Which specialties and procedure groups were included in the 2017 fee schedule discussion
- What kinds of code updates were tied to Medicare valuation and global period changes
Who Should Read This
- Medical coders
- Coding auditors
- Physician billing staff
- Practice managers
- Compliance professionals
- Revenue cycle teams
- Healthcare policy readers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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