August 04, 2017

ACR Plots Impact of Proposed MPFS on Payment Rates

The American College of Radiology (ACR) has prepared impact tables showing the potential effect of payment rates in the proposed 2018 Medicare Physician Fee Schedule (MPFS) on diagnostic and interventional radiology, nuclear medicine and radiation oncology.

The tables cover specific proposed change in reimbursement rates between calendar years 2017 and 2018 for each Current Procedural Terminology® (CPT) code. The ACR analysis includes one spreadsheet for the 70,000 series CPT codes and another for the non-70,000 CPT codes that are billed by radiologists, interventional radiologists and/or radiation oncologists.

The 2018 MPFS proposed rule recommends an estimated one percent decrease overall for diagnostic and interventional radiology services and no estimated change overall for nuclear medicine services. Radiation oncology services are expected to see an overall increase of one percent. However, the specific impacts vary widely for specific services and include either proposed payment rate increases or decreases depending upon the procedure.

The ACR economics staff continues to analyze the proposed rule and will submit comments to the Centers for Medicare & Medicaid Service by its September 11 deadline.

For more information, please contact Kathryn Keysor, ACR senior director of economics and health policy.