Get Ready for Radiology Billing Changes in 2020

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• Get Ready for Radiology Billing Changes in 2020

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Get Ready for Radiology Billing Changes in 2020
The Centers for Medicare Medicaid Services
(CMS) recently published the final Medicare
Physician Fee Schedule for 2020, drawing positive
and negative reactions from various radiology
groups. The American College of Radiology, said
it was disappointed that CMS chose to finalize
plans to implement a upgraded coding structure
for office/outpatient evaluation and management
(E/M) services. Boosting reimbursement for E/M
by about 5 billion would harm clinicians who do
not often bill for such services, according to
the ACR. The price tag around 450 million in
one year, and about 5.6 billion over the coming
10 years, according to an ACR analysis. The
biggest CPT changes for radiology in 2020 fall
under GI imaging and nuclear medicine modalities
with several revisions for clarity and
consistency as well as some additions The CY
2020 Medicare Physician Fee Schedule Final Rule
was placed on display at the Federal Register on
November 1, 2019. This final rule revise payment
policies, payment rates, and other provisions for
services furnished under the Medicare Physician
Fee Schedule (PFS) on or after Jan. 1, 2020.
Medical Billing Services in Oregon
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Get Ready for Radiology Billing Changes in 2020
Many radiologic exam codes were revised,
including 74022, 74210, 74220, 74230, 74240,
74246, 74250, 74270 and 74280. Codes 74241,
74245, 74247, 74249 and 74260 will be deleted.
Updates also were made to myocardial imaging.
Codes 78459, 78491 and 78492 were revised. New
codes include CPT Code 78429 Myocardial
imaging, positron emission tomography (PET),
metabolic evaluation study (including ventricular
wall motion(s), and/or ejection fraction(s), when
performed) single study with concurrently
acquired computed tomography transmission
scan Code 78430 Myocardial imaging, PET,
perfusion study (including ventricular wall
motion(s), and/or ejection fraction(s), when
performed) single study, at rest or stress
(exercise or pharmacologic), with concurrently
acquired computed tomography transmission
scan CPT Code 78431 multiple studies at rest
and stress (exercise or pharmacologic), with
concurrently acquired computed tomography
transmission scan CPT Code 78432 Myocardial
imaging, positron emission tomography, combined
perfusion with metabolic evaluation study
(including ventricular wall motion(s), and/or
ejection fraction(s), when performed), dual
radiotracer (eg, myocardial viability)
Medical Billing Services in Oregon
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Get Ready for Radiology Billing Changes in 2020
CPT Code 78433 with concurrently acquired
computed tomography transmission scan About
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Medical Billing Services in Oregon