December 08, 2017

2018 MPFS Payment Impacts Vary Widely by Modality

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

The tables cover specific changes 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 final rule estimates no net change overall for diagnostic radiology, interventional radiology and nuclear medicine services and a one percent overall increase for radiation oncology and radiation therapy centers. However, the specific impacts vary widely for specific modalities and include either payment rate increases or decreases depending upon the procedure.

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