Healthcare News: MPFS billing study reports gradual decline in reimbursement for MRI, CT imaging

July 16th, 2019

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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 news article summarizes a Medicare billing study published in The Journal of Hand Surgery that tracked reimbursement trends for upper extremity imaging services over multiple years using the Medicare Physician Fee Schedule Database. It also notes related Medicare payment updates and references guidance from the American College of Radiology on radiology billing changes. The piece is relevant to coders, radiology practices, orthopedics, and medical billing professionals watching payment trends and policy changes.

Why This Topic Matters

It helps readers understand how Medicare payment trends and fee schedule updates can affect imaging reimbursement, practice planning, and revenue monitoring for radiology and related specialties.

Article Sections

  1. Medicare billing study overview

    Introduces the study topic, source publication, and the imaging services evaluated across multiple years and payment settings.

  2. Imaging codes reviewed

    Summarizes the imaging procedure categories and the CPT identifiers analyzed for upper extremity services.

  3. Reimbursement trends and reporting changes

    Describes the overall direction of reimbursement changes over time and references broader reporting changes affecting ultrasound imaging.

  4. Impact on practice and related Medicare updates

    Discusses why the findings may matter to clinical practices and mentions later Medicare fee schedule updates and industry guidance.

What You Will Learn

  • How a Medicare billing study evaluated upper extremity imaging reimbursement trends
  • Which imaging modalities were included in the analysis
  • How the article places the findings in the context of Medicare payment updates
  • Why the findings are relevant to radiology and related medical practices

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Orthopedic practices
  • Practice administrators
  • Healthcare reimbursement analysts

Codes Discussed

  • CPT: 73200
  • CPT: 73221
  • CPT: 76880
  • CPT: 76881
  • CPT: 76882

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