tci General Surgery Coding Alert - 2007 Issue 6

News That Affects You: 2007 Conversion Factor Doesn't Budge, Payments Will

Higher E/M reimbursement leads to cuts elsewhere Congress has reversed a proposed 5 percent decrease to the Medicare conversion factor for 2007 (leaving it at 37.8975, the same rate for 2005 and 2006), but that doesn't mean you won't see a change in Medicare payments. The good news: CMS increased the relative values for many E/M codes, including outpatient visits 99204-99205 and 99213-99215; hospital care 99221-99223, 99231 and 99233; and outpatient and inpatient consults 99244-99245 and 99251-99255. As a result, the fees for these codes have increased. The bad news: Because Medicare spending has to be budget neutral...

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