OPPS cap hits MRI, CT, PET, plus two nuclear codes

Why This Topic Matters

Imaging reimbursement changes can significantly affect physician practices, especially when payment limits are set by comparison to hospital outpatient rates. This article helps readers identify the affected code families and understand the scope of the 2007 Medicare update without relying on the full premium text.

Article Sections

1. Overview of the OPPS cap and imaging payment changes

   Introduces the Medicare payment change and its impact on imaging services under the 2007 physician fee schedule. Summarizes the general categories of imaging affected and the role of CMS guidance.

2. Affected nuclear imaging codes

   Focuses on the nuclear imaging services discussed in the article and identifies the subset subject to the cap. Provides the broad reimbursement context for those services.

3. Carrier-priced and other capped imaging codes

   Discusses additional imaging services and carrier-priced items included in the capped-code discussion. Notes that the article provides a table of affected cardiology and imaging codes.

4. 2007 Cardiology TC Fees Subject to OPPS Cap

   Presents the article’s table of cardiology and imaging services affected by the rule. Covers the fee schedule comparison context and status information shown in the source.