News | May 09, 2010

CMS Raises SPECT, Cardiac CT Reimbursement

May 10, 2010 - The Centers for Medicare and Medicaid Services (CMS) just released a technical correction to the 2010 Medicare Physician Fee Schedule, which results in payment increases for myocardial perfusion imaging (MPI), cardiac computed tomography (CT), and cardiac catheterization codes.
These payments are retroactive to Jan. 1, 2010. The correction notice also includes a minor increase in the Medicare conversion factor from 36.066 to 36.0791, effective June through December 2010.

The corrections to MPI and CT codes address errors made in incorporating recommendations from the American Medical Association/Specialty Society Relative Value Scale Update Committee, or RUC, on direct practice expenses, such as medical supplies and equipment time, for these services. The errors included incorrect practice expense values for CPT codes 75571–75574 and 78451–78454. The corrected national average payment for 78452, single photon emission computed tomography (SPECT) MPI is $439, compared to the $379 published in the November final rule.

The American Society of Nuclear Cardiology (ASNC), the Society of Nuclear Medicine (SNM) and the American Medical Association (AMA) identified the errors in the SPECT codes. The Society of Cardiovascular Computed Tomography (SCCT) and the American College of Cardiology (ACC) worked with CMS to correct errors in the cardiac CT codes.

The correction notice also includes changes to malpractice relative value units (RVU) for cardiac catheterization services. In the final rule for the 2010 Medicare Physician Fee Schedule, CMS agreed with ACC, the Society for Cardiovascular Angiography and Interventions (SCAI), and the AMA that cardiac cath services should be assigned malpractice RVUs based on the higher surgical risk factor. However, the published RVUs and payment rates did not correctly reflect that policy change. With this notice, CMS has corrected its error.

The payment changes reflect the higher risk associated with invasive procedures. Therefore, there will be an increase from $235 to $253 for 93510-26, the professional component for left heart catheterization.

For more information: www.acc.org

Related Content

ScImage and Invia Partnership Announced
News | Cardiac PACS| September 19, 2017
ScImage Inc. and Invia Imaging Solutions recently announced formation of a joint partnership at the American Society of...
CZT SPECT camera detectors offered by GE.

A display of CZT SPECT gamma camera detectors at RSNA 2016. These detectors are more sensitive than those used in older cameras, allowing for faster scans or lower radiation dose. 

Feature | Nuclear Imaging| September 19, 2017 | Dave Fornell
Cardiac nuclear myocardial perfusion imaging (MPI) has been a mature area of imaging for years, but has recently star
Hitachi Supria True64 CT Receives FDA Clearance
Technology | Computed Tomography (CT)| September 15, 2017
Hitachi Healthcare Americas Inc. announced it has attained U.S. Food and Drug Administration (FDA) 510(k) clearance to...
Philips Launches CardioMD IV Cardiac SPECT Solution at ASNC 2017
Technology | SPECT Imaging| September 15, 2017
September 15, 2017 — Philips highlighted its newest solution for...
Mississippi Surgical and Vascular Center Uses Toshiba Ultimax-i FPD to Save Patients' Limbs
News | Angiography| September 14, 2017
The southern U.S. sees some of the highest numbers of chronic medical conditions, such as peripheral artery disease...
Philips Showcases Integrated Vascular Solutions at VIVA 2017
News | Peripheral Artery Disease (PAD)| September 13, 2017
Philips announced its presence at the Vascular Interventional Advances (VIVA 17) Annual Conference in Las Vegas from...
Orange County, Calif. Hospital Adopts Siemens Somatom Force CT for Cardiac Imaging
News | Computed Tomography (CT)| September 12, 2017
Hoag Memorial Hospital Presbyterian recently became the first hospital in Orange County, Calif., to install the Siemens...
Technology | Radiation Dose Management| September 07, 2017
September 7, 2017 — Sapheneia and Scannerside received U.S.
Siemens Healthineers Receives FDA Clearance for TrueFusion Structural Heart Disease Feature
Technology | Cardiovascular Ultrasound| September 06, 2017
The U.S. Food and Drug Administration (FDA) has cleared TrueFusion, a new cardiovascular application from Siemens...
ARTMS Products Inc. and GE Healthcare Team Up to Expand Cyclotron-Produced Radioisotopes
News | Radiopharmaceuticals and Tracers| August 30, 2017
ARTMS Products Inc. signed a strategic partnership with GE Healthcare around ARTMS’ proprietary QUANTM99 Irradiation...
Overlay Init