AHA Coding Clinic® for HCPCS - 2005 Issue 4; FOR your INFORMATION

CMS postpones new payment policy for multiple diagnostic imaging procedures

It has been a longstanding policy under the Outpatient Payment Prospective System (OPPS) that there is a reduction in payment for multiple surgical procedures performed on the same patient in the same operative session. However, this policy has not been applied to multiple diagnostic imaging procedures performed on the same patient on the same day. Upon MedPAC’s recommendation to detect unbundled diagnostic imaging services and to reduce technical component payments because of efficiencies associated with these multiple imaging services using the same modality when they are performed on contiguous areas of the body in a single session, CMS...

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