Cysto procedures: Fee schedule says no in-office code

Why This Topic Matters

The article highlights how fee schedule changes can alter reimbursement for office-based procedures and affect practice decisions about where services are performed. It also places those changes in the context of CMS valuation updates and specialty advocacy.

Article Sections

1. Fee schedule change affecting office-based cysto procedures

   Discusses the 2004 Medicare physician fee schedule and the office-versus-facility payment issue for selected urology procedures. It describes the broader reimbursement impact and the organizations involved in reviewing the change.

2. Practitioner and specialty association response

   Summarizes comments from urology billing and compliance professionals and the American Urological Association’s awareness of the issue. It addresses how practices may respond to the payment shift.

3. Related valuation updates for other urology services

   Covers additional Medicare valuation changes affecting other urology services in the same rulemaking cycle. It also notes a separate work RVU determination discussed by CMS and the RUC.

4. Fee schedule comparison table

   Presents a comparison of selected procedures across prior-year and current-year non-facility and facility RVU values. The table supports the article’s discussion of payment changes.