January 22, 2016

ACR Recommends Values for CPT Codes to RUC Panel

The American College of Radiology (ACR) presented value recommendations for 22 Current Procedural Terminology (CPT) codes to the American Medical Association/Relative Value Scale Update Committee (AMA/RUC) at the January 2016 meeting in Miami, FL. The codes comprise procedures in interventional radiology, neuroradiology and mammography:
  • Open and percutaneous transluminal angioplasty
  • Intracranial endovascular intervention
  • Dialysis circuit
  • MRI face and neck
  • Mammography with computer aided detection (CAD)
The ACR also submitted a letter to the RUC panel to address noninvasive physiologic studies of extremity veins.

Many of these tabs were a multispecialty effort reflecting ACR collaborations with the Society of Interventional Radiology (SIR), the Society for Vascular Surgery (SVS), the American Society of Neuroradiology (ASNR), the Renal Physicians Association (RPA), the Congress of Neurological Surgeons (CNS) and the American Association of Neurological Surgeons (AANS).

Ezequiel Silva III, MD, FACR, and Kurt Schoppe, MD, represented the ACR as RUC Advisor and Alternate RUC Advisor, respectively. To assist with the mammography presentation, the ACR invited Dana Smetherman, MD, FACR, and Mark Alson, MD, FACR, to serve as clinical experts and to address procedural questions from the RUC panel.

Colin Segovis, MD, PhD, and Daniel Wessell, MD, also attended to observe the RUC process. Segovis is secretary of the ACR’s Resident and Fellow Section (RFS). “The RUC process is clearly critical to ensuring we receive appropriate reimbursement for our (radiologists’) efforts,” Segovis said. “We are fortunate to have Drs. Silva and Schoppe and ACR staff representing our field.”

Though the ACR did not participate in the survey process for these codes, the College supported the American Society for Radiation Oncology (ASTRO) and the SVS with their recommendations for the following therapies:
  • Radiation treatment devices
  • Special radiation treatment
  • Mechanochemical (MOCA) vein ablation
The Centers for Medicare & Medicaid Services (CMS) will address these codes in the 2017 proposed rule of the Medicare Physician Fee Schedule (MPFS) and publish the final values in the MPFS Final Rule in October 2016. Values approved at the RUC may be further refined by CMS.

Please direct your questions about the RUC process to Stephanie Le at sle@acr.org or 800-227-5463, ext. 4584.