Wednesday, June 2, 2010

changes in payment of Gastroenterology CPT

What’s new: CPT coding changes for 2010


On October 30, 2009, the Centers for Medicare and Medicaid Services (CMS) released its final physician rule for 2010. Absent Congressional intervention, the largest impact on gastroenterology practice will be a 21.3 percent cut in Medicare physician payments effective on January 1, 2010. This negative update is required under the sustainable growth rate (SGR) formula and includes the cumulative impact of the Tax Relief and Health Care Act of 2006 (TRHCA).

Impact on Medicare charges by specialty under 2010 physician fee schedule final rule (Does not include impact of 21.3 negative update to conversion factor)In addition to the SGR-based cut, the combined impact of all fee schedule changes for gastroenterology payments (work, practice expense transition and medical liability) is -1 percent for 2010. Taking into account overall changes in the fee schedule, gastroenterology would be impacted by a 22.3 percent cut if the SGR formula is not addressed for 2010.


Impact on Medicare charges by specialty under 2010 physician fee schedule final rule (Does not include impact of 21.3 negative update to conversion factor)

Specialty : Gastroenterology
Allowed charges (millions) : $1,792
Impact of work RVU changes: -2%
Impact of PE-RVU changes:  0%
Impact of malpractice RVU changes:  1%
Total impact : -1%

RVU: Relative Value Units

However it is kept in hold still.

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