CMS Asked to Consider Assigning Payment in Office Facility Settings for SI Joint Fusion Procedures As part of the 2024 Medicare Physician Fee Schedule, CMS stated they are soliciting feedback on assigning practice expense relative value units (RVUs) in the office setting for sacroiliac (SI) joint fusion, CPT code 27279: “Arthrodesis, sacroiliac joint, percutaneous or...
CMS Announces Revision to New Payment Edits for Spine Surgery The July 1, 2023, National Correct Coding Initiative Procedure-to-Procedure (PTP) edit file for Medicare claims includes Column 1 codes 22630, 22632, 22633, and 22634 with Column 2 codes 63052 and 63053 with Correct Coding Modifier Indicator (CCMI) of 1. This means that CMS will deny...
CMS Releases 2024 Medicare Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) Proposed Rule On July 13, 2023, CMS released the calendar year (CY) 2024 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule, which includes proposals to update payment rates, policies, and regulations affecting Medicare services furnished in...
CMS Releases 2024 Medicare Physician Fee Schedule Proposed Rule On July 13, 2023, CMS released the 2024 Medicare Physician Fee Schedule (PFS) proposed rule, which addresses Medicare payment and quality provisions for physicians in the coming year. Under the proposal, physicians will see a decrease to the conversion factor of 3.36% on Jan. 1, 2024, going...