decisionhealth Newsletters, Part B News - 2004 Issue 9 (September)
Race is on to boost drug infusion payments for 2005
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Article Overview
This news article explains how proposed revisions to drug infusion and administration coding were being evaluated for possible use in 2005, even though the underlying CPT changes were intended for a later CPT cycle. It is relevant to physician practices, oncology and infusion services, and coding professionals who track AMA and CMS payment updates. The piece outlines the review pathway involving the CPT Editorial Panel, specialty surveys, the RUC, and CMS, and describes the broad categories of infusion-related code changes under consideration.
Why This Topic Matters
Drug infusion and administration coding changes can affect how practices report services and how Medicare pays for them. Readers following CPT, HCPCS G-code activity, and Medicare payment policy need to understand the timing and review process described in the article.
Article Sections
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Codes being surveyed by specialties
Covers the AMA survey process for proposed drug infusion code changes and the organizations involved in evaluating physician work and practice expense. It also describes the timeline connecting CPT development with possible CMS action.
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Infusion codes divided by complexity
Summarizes the broad categories of proposed infusion-related code revisions and the expansion of chemotherapy-related coding concepts. It also notes several proposed services that were not accepted by the CPT Editorial Panel.
What You Will Learn
- How proposed drug infusion coding changes move through the AMA and CMS review process
- Why specialty surveys matter in determining physician work and practice expense
- What broad categories of infusion services were being reconsidered
- Which types of proposed infusion-related services were rejected by the CPT Editorial Panel
- How Medicare payment policy was influencing the timing of coding changes
Who Should Read This
- Physician coders
- Infusion center billing staff
- Oncology billing and coding professionals
- Practice administrators
- Medicare reimbursement analysts
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