May 05, 2017

ACR Well Represented at April RUC Meeting

The American College of Radiology (ACR) presented recommendations for about 30 current procedural terminology (CPT) codes at the American Medical Association/Specialty Relative Value Scale Update Committee (RUC) meeting April 26-29 in Chicago.

The ACR collaborated with the American Society of Neuroradiology, Society of Interventional Radiology, American Academy of Orthopaedic Surgeons, American Podiatric Medical Association, American Urological Association and other specialty societies to present physician work and practice expense recommendations for the following code families:

X-Ray of the spine
X-Ray of the sacrum
X-Ray of the elbow/forearm
X-Ray of the heel
X-Ray of the toe
X-Ray of the esophagus
X-Ray of the urinary tract
Ultrasound exam of the scrotum
CT scan for needle biopsy

The ACR relies on four key volunteers at these important meetings. ACR RUC Advisor Kurt Schoppe, MD and Alternate Advisor Daniel Wessell, MD, MPH, present work value and time recommendations for radiology-related codes to the RUC panel. Ezequiel Silva III, MD, FACR, is the radiology representative to the RUC panel, and William Donovan, MD, MPH, FACR, is the alternate radiology representative to the RUC.

Lauren Golding, MD, Andrew Rosenkrantz, MD, and McKinley Glover IV, MD, attended as the ACR’s guests to learn about the valuation process. This was the first RUC meeting for Golding, a pediatric radiology and mammography specialist from the Winston-Salem region of North Carolina. Of her experience she said, “The RUC is a fascinating process, one that no number of pre-meeting conference calls or emails can adequately proxy. The amount of work and time that is put in behind the scenes to ensure that our reimbursement reflects our value has been eye-opening for me.”

As a second-time RUC attendee, Glover, a radiology and health policy and management fellow at Massachusetts General Hospital, noted, “Our ACR RUC team dedicates a tremendous amount of time in demonstrating the intensity and complexity of radiology to the RUC. It is clear that the ACR is both experienced and well-respected at the RUC.”

The April 2017 RUC meeting kicks off the CPT 2019 cycle. Codes presented at the April 2017, October 2017 and January 2018 meetings will be finalized by the Centers for Medicare & Medicaid Services (CMS) for the 2019 Medicare Physician Fee Schedule. Ultimately, CMS has the final authority to refine and finalize these work and value recommendations.

Please direct your questions about the RUC process to Stephanie Le at or 800-227-5463 Ext. 4584.