Proposed fee and code changes: CMS targets prolonged services, epidural injections and more with RVU changes

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews CMS’s proposed 2017 Medicare physician fee schedule updates for relative value units tied to revised, deleted, converted, and newly created CPT services. It is relevant to coding and reimbursement professionals who need to track valuation changes, code crosswalks, and the restructuring of services in areas such as surgery, therapy, spine, and injections.

Why This Topic Matters

The proposals affect how multiple services are classified, valued, and reported under Medicare. Readers working in coding, billing, compliance, and revenue cycle management can use the article to understand which service areas are changing and which code families are being reorganized for the next fee schedule year.

Article Sections

  1. Proposed RVU revisions to existing codes

    This section outlines CMS’s proposed valuation changes for selected established CPT services across several specialties. It focuses on broad fee schedule adjustments for revised or reviewed codes.

  2. New codes in proposed 2017 fee schedule

    This section summarizes newly proposed CPT code groupings and converted services in the 2017 fee schedule. It covers broad changes affecting spine procedures, therapy evaluations, fracture treatment, and injection services.

What You Will Learn

  • How CMS is proposing to revise RVUs for selected existing CPT services
  • Which broad service categories are receiving new or restructured CPT codes
  • How the proposed fee schedule addresses code deletions, replacements, and conversions
  • What types of specialties and procedure families are affected by the proposed changes

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Physician practices
  • Therapy providers
  • Reimbursement analysts

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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