Special Report on 2004 fee schedule

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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 summarizes major provisions of the 2004 Medicare RBRVS physician fee schedule final regulations. It is intended for coders, billers, compliance staff, and physician practice managers who need a high-level view of payment updates, relative value unit changes, coverage-related revisions, and selected specialty impacts discussed by CMS.

Why This Topic Matters

The annual fee schedule affects how many physician and related services are paid under Medicare, so understanding the broad scope of changes helps organizations evaluate reimbursement, compliance, and billing workflow impacts for the new year.

Article Sections

  1. Overview and key fee schedule metrics

    Provides the article’s overall context and summarizes the major Medicare physician fee schedule measures discussed for 2004, including broad payment updates and timing of implementation.

  2. Work RVUs

    Covers selected work relative value unit updates, committee recommendations, and related specialty-driven revisions affecting physician services.

  3. Practice expense RVUs

    Summarizes practice expense-related changes, including data updates, survey timing, and service-specific revisions affecting payment calculations.

  4. Miscellaneous

    Includes additional CMS policy topics such as ESRD payment, family visit policy, diabetes training criteria, comment-period issues, outpatient therapy, and physician self-referral updates.

  5. Anesthesia and pain management

    Reviews anesthesia-specific fee schedule updates, teaching-related policy changes, review activity, and selected pain management payment changes for 2004.

What You Will Learn

  • How CMS described the 2004 Medicare physician fee schedule changes
  • Which broad payment areas were revised for physician services
  • What categories of services received specialty-specific attention
  • Which CMS policy topics were addressed alongside the fee schedule update
  • How anesthesia and pain management were treated within the report

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practice managers
  • Revenue cycle teams
  • Specialty society staff

Codes Discussed

Code Ranges Discussed

  • CPT: 99301-99303
  • CPT: 99311-99313

Modifiers Discussed


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