February 28, 2016

Radiology Proposals Presented at CPT Editorial Panel Meeting

American College of Radiology’s (ACR) Current Procedural Terminology (CPT) Advisor, Daniel Picus, MD, FACR, and College staff attended the Feb. 4–6 CPT Editorial Panel and Health Care Professional Advisory Committee Annual Meeting in Miami. 

Picus presented two code proposals for the 2018 CPT Code Cycle – editorial revision to the chest and abdomen codes. Abdominal X-ray codes 74000 and 74022 and chest X-ray codes 71010 and 71020 were identified in the 2016 Medicare Physician Fee Schedule Notice of Proposed Rule-Making, as high expenditure services across specialties with Medicare allowed charges of $10,000 or more. This prompted a request for revision of the abdomen and chest radiograph codes from view-specific codes to number of views. It is hoped that the proposed changes will increase the flexibility and accuracy for coding customized exams, which cannot be accurately coded with view-specific descriptors. 

The American Medical Association’s CPT Editorial Panel meets three times each year — February, May, and October — to determine changes to the CPT code set. The panel is developing codes for the 2018 CPT code cycle. At the annual February meeting, attendees are also provided with the opportunity to participate in workshops, which included sessions on telehealth and integrative care this year. 

Please visit the billing and coding section of the ACR website to view the number of coding resources the College offers practices to help ensure coding accuracy — as well as the ACR Radiology Coding Source, ACR’s bimonthly electronic coding and reimbursement newsletter.

A detailed explanation of the CPT Editorial Panel process can be found on the American Medical Association's website.